Organization
GE4NESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MICHELLE MAZZA (PT)
(513) 221-1562
Entity
Organization
Contact information
Practice address
101 E STATE ST, KENNETT SQ, PA 19348-3109
(512) 221-1562
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT-004947
OH
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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