Genesis Rehab Services
Home Health in West Melbourne, FL. Organization (NPI-2).
NPI number1124273545
StatusActive
Last updated in NPPESNov 26, 2008
Details
- NPI
- 1124273545
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Rehab Services
- Organization subpart
- No
- Enumeration date
- Nov 26, 2008
- Last updated
- Nov 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | OTA10545 | FL | Yes |
Practice location
7201 Greenboro Dr Apt 7West Melbourne, FL 32904-1698
Phone 321-412-5716
Mailing address
7570 Greenboro Dr Apt 7West Melbourne, FL 32904-1642
Phone 321-412-5716
Authorized official
Kelly R Chandler
Cota/L
3214125716
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