Organization
GENESISREHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALAN BURBA (PT)
(270) 769-9733
Entity
Organization
Contact information
Practice address
225 SAINT JOHN RD, ELIZABETHTOWN, KY 42701-2918
(270) 769-3314
Mailing address
225 SAINT JOHN RD, ELIZABETHTOWN, KY 42701-2918
(270) 769-3314
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
KY 002888
KY
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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