Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN MARY DURAND OT (CCUPATIONAL THERAPIST)
(301) 934-4001
Entity
Organization
Contact information
Practice address
1 MAGNOLIA DR, LA PLATA, MD 20646-9357
(301) 934-4001
(301) 392-3726
Mailing address
42249 BIRD HAVEN DR, LEONARDTOWN, MD 20650-3628
(301) 475-1662
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
04929
MD
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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