Exhibit 32.1
                          GENESIS HEALTH VENTURES, INC.

                            CERTIFICATION PURSUANT TO
                             18 U.S.C. SECTION 1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

         Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (Section 1350
of Chapter 63 of Title 18 of the United States Code), each of the undersigned
officers of Genesis Health Ventures, Inc. (the "Company"), does hereby certify
with respect to the Annual Report of the Company on Form 10-K/A for the fiscal
year ended September 30, 2002 (the "Report") that:

         (1)      The Report fully complies with the requirements of Section
                  13(a) or 15(d) of the Securities Exchange Act of 1934; and

         (2)      The information contained in the Report fairly presents, in
                  all material respects, the financial condition and results of
                  operations of the Company.




Date:  October 10, 2003                              Robert H. Fish
       ---------------------------                   ---------------------------
                                                     Robert H. Fish
                                                     Chief Executive Officer


Date:  October 10, 2003                              George V Hager, Jr.
       ---------------------------                   ---------------------------
                                                     George V. Hager, Jr.
                                                     Chief Financial Officer


         The foregoing certification is being furnished solely pursuant to
Section 906 of the Sarbanes-Oxley Act of 2002 (Section 1350 of Chapter 63 of
Title 18 of the United States Code) and is not being filed as part of the Report
or as a separate disclosure document.