| Organization Name: | GENESIS ELDERCARE REHABILITATION SERVICES LLC |
| NPI Number: | 1568829042 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL A HIRSCHFELD (PRESIDENT) |
| Mailing Address: | 185 Pine Haven Shores Rd C/o The Residence At Shelburne Bay Shelburne |
| State: | VT US |
| Postal Code: | 054827805 |
| Phone Number: | 8029859847 |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2016 |
| NPI Last Update Date: | 01/28/2016 |
| 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: | |