NPI 1174822472

Genesis Rehab Services

Organisation Health Maintenance Organization Schuylkill Haven, PA

Practice location

Address: 14 Kiehner Rd, Schuylkill Haven, PA 17972-8999
Phone: (570) 739-4526

Authorised official

Name: Darcie Nan Roeder
Title: Phy. Therapy Assistant
Phone: (570) 621-7432

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence TE1000270 (PA)

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Registry record

NPI: 1174822472
Entity type: Organization
NPI issued: 25 Mar 2011
Record last updated: 25 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.