Genesis Healthcare

NPI #1114386687 in Hazlehurst, Mississippi

Provider Information

NPI Number
1114386687
Entity Type
Organization
Organization Name
Genesis Healthcare
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 12, 2016
Last Updated
Feb 12, 2016

Practice Location

Address
2142 E WHITWORTH ST
ZIP Code
39083-9277
Phone
(601) 278-8986

Authorized Official

Name
ROBERT BRADLEY WOODS, LPTA
Title
PHYSICAL THERAPY ASSISTANT
Phone
(601) 278-8986

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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