Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN C ROYCE OTR/L (OCCUPATIONAL THERAPIST)
(630) 377-7092
Entity
Organization
Contact information
Practice address
3N226 LOBLOLLY LN, ST CHARLES, IL 60175-7656
(630) 377-7092
Mailing address
3N226 LOBLOLLY LN, ST CHARLES, IL 60175-7656
(630) 377-7092
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
056002295
IL
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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