Genesis Rehab Servises

NPI 1053726083 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1053726083
Enumeration Date 06/28/2014
Last Updated 06/28/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name RUSSELL WAYNE RUSSELL
Position OCCUPATIONAL THERAPY ASSISTANT
Phone (201) 848-4323
Fax
Practice Location
301 SICOMAC AVE
WYCKOFF NJ, 07481-2159, US
Phone (201) 848-4323
Fax
Business Location
200 NORTHPOINTE CIR STE 302
SEVEN FIELDS PA, 16046-7861, US
Phone (724) 779-6440
Fax
Toxanomy
Taxonomy Code 314000000X
License State New Jersey
License Number 46TA09094700
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According to our database, Genesis Rehab Servises NPI is 1053726083, taxonomy code is 314000000X and license number is 46TA09094700, license state is located at New Jersey. Genesis Rehab Servises physically located at 301 Sicomac Ave, Wyckoff NJ, 07481-2159. NPI Number 1033115704 has the healthcare provider type.

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1053726083 NPI number is provided on an as is basis without warranty of any kind. 1053726083 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Rehab Servises are for informational purposes only.