Organization
GENESIS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETHANY ANN KOCH NACCCSLP (PROGRAM MANAGER)
(216) 361-6141
Entity
Organization
Contact information
Practice address
600 S BROAD ST, KENNETT SQUARE, PA 19348-3346
(610) 925-4551
Mailing address
3383 COLWYN RD, SHAKER HTS, OH 44120-4221
(216) 333-2848
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
00598
OH
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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