OrganizationActive
Genesis Revitalization Group
NPI 1366308231 · Day Training/Habilitation Specialist · Atlantic City, NJ
Provider details
- NPI number
- 1366308231
- Entity type
- Organization
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Frank Gilliam, Reginal Administrator(609) 892-7681
Specialties & taxonomies
Nursing Service Related Providers
Practice location
16 S Rhode Island Ave
Atlantic City, NJ 08401-7759
Phone: (609) 335-7373
Approximate (ZIP-level) locationGet directions
Mailing address
16 S Rhode Island Ave
Atlantic City, NJ 08401-7759
Registry dates
- Enumerated
- 2026-01-05
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.