Organization
GENESIS ELDERCARE REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE M PORTA M.S., OTR/L (OCCUPATIONAL THERAPIST)
(201) 739-6228
Entity
Organization
Contact information
Practice address
12-15 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5808
(201) 797-9522
Mailing address
12-15 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5808
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
46TR00536100
NJ
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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