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Contact Information

GENESIS REHAB
731 POLO ROAD
WILDEWOOD DOWNS
COLUMBIA, SC29223
 Phone: 803-446-9378
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for GENESIS REHAB

NPI # 1225341589
LBN Legal business name GENESIS REHAB
Authorized official IAN FISH - (PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2010
Last updated 07/15/2010 - About 16 years ago
Identifiers
SC License # 799
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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