Organization Name: | GENESIS REHABILITATION, INC. |
NPI Number: | 1861523706 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM J HOLMAN (PRESIDENT) |
Mailing Address: | 101 Us Highway 80 W Demopolis |
State: | AL US |
Postal Code: | 367324101 |
Phone Number: | 3342895696 |
Fax Number: | 3342895578 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PTH 3269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |