Organization
GENESIS REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY KOCH SLP (PROGRAM MANAGER)
(216) 361-6141
Entity
Organization
Contact information
Practice address
7201 WADE PARK AVE, CLEVELAND, OH 44103-2765
(216) 361-6141
(216) 361-0766
Mailing address
7201 WADE PARK AVE, CLEVELAND, OH 44103-2765
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
9273
OH
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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