Organization Name: | GENESIS REHAB SERVICES |
NPI Number: | 1174822472 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARCIE NAN ROEDER (PHY. THERAPY ASSISTANT) |
Mailing Address: | 14 Kiehner Rd Schuylkill Haven |
State: | PA US |
Postal Code: | 179728999 |
Phone Number: | 5707394526 |
Fax Number: | |
NPI Enumeration Date: | 03/25/2011 |
NPI Last Update Date: | 03/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | TE1000270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |