Organization
GENESIS HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FARHA MOHAMED HAJI JAMALDIN (COTA/L)
(904) 899-3270
Entity
Organization
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(352) 240-6403
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
13399
FL
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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