Organization · NPI-2

Genesis

Skilled Nursing Facility · Windsor, CT

NPI number1194043414
StatusActive
Last updated in NPPESMay 11, 2010

Details

NPI
1194043414
Entity type
Organization (NPI-2)
Legal business name
Genesis
Organization subpart
No
Enumeration date
May 11, 2010
Last updated
May 11, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility002198CTYes

Practice location

1 Emerson Dr
Windsor, CT 06095-3204

Phone 860-640-6317

Mailing address

50 Kelly Rd
South Windsor, CT 06074-3120

Authorized official

Pammela Emily Piits
Otr/L
8609789966

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