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Organization

GENESIS REHAB SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GRETA RUCKER (PTA/DOR)
(505) 863-9551
Entity
Organization

Contact information

Practice address
306 E NIZHONI BLVD, GALLUP, NM 87301-5794
(505) 863-9551
Mailing address
306 E. NIZHONI BLVD., GALLUP, NM 87301
(505) 863-9551

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
A-0411
NM

Other

Enumeration date
10/22/2015
Last updated
10/22/2015
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