Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIAN SEMPIO (PROGRAM MANAGER REHAB)
(808) 441-9538
Entity
Organization
Contact information
Practice address
41-749 MEKIA ST, WAIMANALO, HI 96795-1339
(973) 330-2683
Mailing address
41-749 MEKIA STREET, WAIMANALO, HI 96795
(973) 330-2683
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1195
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XLPR000030354716
HMSA
HI
Enumeration date
03/06/2013
Last updated
03/06/2013
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