Genesis Rehab

NPI 1083030100 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1083030100
Enumeration Date 03/13/2014
Last Updated 03/13/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CRYSTAL CRYSTAL
Position SPEECH-LANGUAGE PATHOLOGIST
Phone (270) 769-3314
Fax
Practice Location
225 SAINT JOHN RD
ELIZABETHTOWN KY, 42701-2918, US
Phone (270) 769-3314
Fax
Business Location
584 CLOVER LN UNIT A
ELIZABETHTOWN KY, 42701-2992, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State Kentucky
License Number 4023
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According to our database, Genesis Rehab NPI is 1083030100, taxonomy code is 314000000X and license number is 4023, license state is located at Kentucky. Genesis Rehab physically located at 225 Saint John Rd, Elizabethtown KY, 42701-2918. NPI Number 1033115704 has the healthcare provider type.

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1083030100 NPI number is provided on an as is basis without warranty of any kind. 1083030100 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Rehab are for informational purposes only.