Genesis

Assisted Living Facility · Kennett Square, PA

Organization Active NPI

NPI number 1336376664

Practice location

101 E State St
Kennett Square, PA 19348-3109
Phone
(239) 939-3725

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NPI record

NPI
1336376664
Entity type
Organization (Type 2)
Enumeration date
June 13, 2009
Last updated
June 13, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X PTA19841 FL

Authorized official

Name
Mrs. Tammy Bredar
Title
Rehab Manager
Phone
(239) 939-3725

About Genesis

Genesis is a healthcare organization registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 101 E State St, Kennett Square, PA 19348-3109. The NPI number 1336376664 was assigned on June 13, 2009 and the record was last updated on June 13, 2009.

Genesis lists a license in the registry: #PTA19841 (FL) for Assisted Living Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Tammy Bredar, Rehab Manager.

Frequently asked questions

What is the NPI number of Genesis?

The NPI number is 1336376664.

What is the phone number of Genesis?

The phone number listed for the practice location is (239) 939-3725.

Where is Genesis located?

101 E State St, Kennett Square, PA 19348-3109.

What is the taxonomy code for Genesis?

The primary taxonomy code is 310400000X – Assisted Living Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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