| Organization Name: | GENESIS REHAB SERVICES |
| NPI Number: | 1265841001 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT PREIST (PROGRAM MANAGER) |
| Mailing Address: | 120 Lakes At Litchfield Dr Pawleys Island |
| State: | SC US |
| Postal Code: | 295855502 |
| Phone Number: | 8432370343 |
| Fax Number: | 8432354024 |
| NPI Enumeration Date: | 08/06/2014 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | OTA.3001 OTA |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |