Provider First Line Business Practice Location Address:
455 WESTERN AVE
Provider Second Line Business Practice Location Address:
GENESIS REHAB SERVICES
Provider Business Practice Location Address City Name:
MORRISTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07960-4912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-538-2886
Provider Business Practice Location Address Fax Number:
973-871-1128
Provider Enumeration Date:
03/13/2007