Organization Name: | GENESIS HEALTH DEVELOPMENT INC |
NPI Number: | 1033154992 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL SPIGEL (CHIEF OPERATING OFFICER) |
Mailing Address: | 9 Pine Cone Dr Suite 104b Palm Coast |
State: | FL US |
Postal Code: | 321378686 |
Phone Number: | 3864469716 |
Fax Number: | 3864460046 |
NPI Enumeration Date: | 06/17/2006 |
NPI Last Update Date: | 03/23/2012 |
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: |