Organization · NPI-2

Genesis Rehab Services

Skilled Nursing Facility · Lakeland, FL

NPI number1093836207
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1093836207
Entity type
Organization (NPI-2)
Legal business name
Genesis Rehab Services
Organization subpart
No
Enumeration date
Apr 3, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing FacilityPTA20084FLYes

Practice location

4240 Lakeland Highlands Rd
Lakeland, FL 33813-3113

Phone 863-607-5948 · Fax 863-644-4202

Mailing address

7916 Sugar Pine Blvd
Lakeland, FL 33810-1389

Phone 863-868-3857

Authorized official

Kimberly Sue Ochs
Rehab Program Manager
8636075948

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