Organization
GENISIS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GEISSEL COTA (COTA)
(201) 541-4323
Entity
Organization
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 645-8428
Mailing address
379 LONG HILL RD, GILLETTE, NJ 07933-1431
(908) 295-5150
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
46TA09004100
NJ
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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