| Organization Name: | GENESIS ELDERCARE REHABILITATION SERVICES LLC |
| NPI Number: | 1023429461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELE K BURK (SR DIRECTOR) |
| Mailing Address: | 650 N Lake Howard Dr C/o Lake Howard Heights Winter Haven |
| State: | FL US |
| Postal Code: | 338813162 |
| Phone Number: | 8632934456 |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2014 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |