Organization Name: | GENESIS ELDERCARE REHABILITATION SERVICES LLC |
NPI Number: | 1952710378 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL A HIRSCHFELD (PRESIDENT) |
Mailing Address: | 48 Osprey Village Dr C/o Osprey Village At Amelia Island Amelia Island |
State: | FL US |
Postal Code: | 320344955 |
Phone Number: | 9044911701 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2014 |
NPI Last Update Date: | 03/08/2016 |
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: |