| Organization Name: | GENESIS REHABILITATION SERVICES |
| NPI Number: | 1285033779 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY ANNE TRACY (OCCUPATIONAL THERAPY ASSISTANT) |
| Mailing Address: | 7 Wilson St Skowhegan |
| State: | ME US |
| Postal Code: | 049762022 |
| Phone Number: | 2073131419 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2014 |
| NPI Last Update Date: | 08/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | OA2639 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |