Whalio Doctors

NPI 1255611794

Genesis Rehab Services

Organisation Alzheimer Center (Dementia Center) West Orange, NJ

Practice location

Address
115 Old Short Hills Rd Apartment 254, West Orange, NJ 07052-1009
Phone
(973) 669-5658
Mailing address
115 Old Short Hills Rd APT. 254, West Orange, NJ 07052-1009

Authorised official

Name
Chanel Katrece Porter-Lagrier
Title
Physical Therapist Assistant
Phone
(973) 220-0880

Registered specialties

Alzheimer Center (Dementia Center) Primary
Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 40QB00278900 (NJ)

Registry record

NPI
1255611794
Entity type
Organization
NPI issued
27 Aug 2011
Record last updated
27 Aug 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.