Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY KAGARISE (PHYSICAL THERAPIST ASSISTANT)
(814) 652-0282
Entity
Organization
Contact information
Practice address
208 PENNKNOLL RD, EVERETT, PA 15537-6940
(814) 623-9018
Mailing address
2932 RAYSTOWN RD, HOPEWELL, PA 16650-7622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
TEI001494
PA
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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