| Organization Name: | GENESIS ELDERCARE REHABILITATION SERVICES LLC |
| NPI Number: | 1033536990 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELE BURK (SENIOR DIRECTOR) |
| Mailing Address: | 245 W Sierra Madre Blvd Sierra Madre |
| State: | CA US |
| Postal Code: | 910242355 |
| Phone Number: | 6263253780 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2014 |
| NPI Last Update Date: | 10/22/2015 |
| 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: | |