Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI Number | 1922093301 |
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| LBN Legal business name | GENESIS ELDERCARE REHABILITATION SERVICES LLC | ||||
| Authorized official | LOUISE SOIKA - (SVP) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/13/2005 | ||||
| Last updated | 02/15/2018 - About 8 years ago | ||||
| Identifiers |
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