Genesis

NPI #1659683936 in Salem, Ohio

Provider Information

NPI Number: 1659683936
Entity Type: Organization
Organization Name: Genesis
Primary Specialty: Skilled Nursing Facility
Enumeration Date: Jul 2, 2010
Last Updated: Jul 2, 2010

Practice Location

Address: 2511 BENTLEY DR
City: Salem
State: Ohio
ZIP Code: 44460-2503
Phone: (330) 337-3015

Authorized Official

Name: MRS. SHIRLEY ANN TICE, COTA/L
Title: CERTIFIED OCCUPATIONAL THERAPIS
Phone: (330) 424-1504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Skilled Nursing Facility	314000000X	Primary

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