Organization
GENESIS ELDERCARE REHAB SVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BOURBEAU PTA (PHYSICAL THERAPIST ASSISTANT)
(603) 627-3811
Entity
Organization
Contact information
Practice address
235 MYRTLE ST, MANCHESTER, NH 03104-0104
(603) 627-3811
Mailing address
271 WELLINGTON HILL RD, MANCHESTER, NH 03104-0104
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910
NH
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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