Genesis Family Home

NPI 1013132620 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1013132620
Enumeration Date 04/17/2007
Last Updated 07/30/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN KENNEDY JOHN
Position EXECUTIVE DIRECTOR
Phone (704) 793-9593
Fax
Practice Location
1224 MILTON AVE
KANNAPOLIS NC, 28081-5444, US
Phone (704) 793-9593
Fax
Business Location
1036 BRANCHVIEW DR
SUITE 201
CONCORD NC, 28025-2998, US
Phone (704) 793-9593
Fax
Toxanomy
Taxonomy Code 322D00000X
License State North Carolina
License Number MHL-013-107
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According to our database, Genesis Family Home NPI is 1013132620, taxonomy code is 322D00000X and license number is MHL-013-107, license state is located at North Carolina. Genesis Family Home physically located at 1224 Milton Ave, Kannapolis NC, 28081-5444. NPI Number 1033115704 has the healthcare provider type.

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1013132620 NPI number is provided on an as is basis without warranty of any kind. 1013132620 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Family Home are for informational purposes only.