Organization
GENESIS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON ELLERB JR. OTA/L (OCCUPATIONAL THERAPIST ASSISTANCE)
(216) 256-8152
Entity
Organization
Contact information
Practice address
520 E 103RD ST, CLEVELAND, OH 44108-1330
(216) 256-8152
Mailing address
520 E 103RD ST, CLEVELAND, OH 44108-1330
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA2838
OH
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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