Organization Name: | GENESIS ELDERCARE REHABILITATION SERVICES LLC |
NPI Number: | 1417368366 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELE BURK (SR DIRECTOR) |
Mailing Address: | 149 S Hunter Hwy C/o Providence Place Of Drums Drums |
State: | PA US |
Postal Code: | 182222422 |
Phone Number: | 5703593430 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2014 |
NPI Last Update Date: | 01/13/2016 |
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: |