Genesis Therapeutic Services, Inc.

NPI 1497882195 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1497882195
Enumeration Date 02/28/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENDRICK KENDRICK
Position PROGRAM DIRECTOR
Phone (910) 577-8200
Fax (910) 577-8270
Practice Location
99 VILLAGE DR STE 12
JACKSONVILLE NC, 28546-7060, US
Phone (910) 577-8200
Fax (910) 577-8270
Business Location
99 VILLAGE DR STE 12
JACKSONVILLE NC, 28546-7060, US
Phone (910) 577-8200
Fax (910) 577-8270
Toxanomy
Taxonomy Code 320600000X
License State North Carolina
License Number MHL-067-165
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According to our database, Genesis Therapeutic Services, Inc. NPI is 1497882195, taxonomy code is 320600000X and license number is MHL-067-165, license state is located at North Carolina. Genesis Therapeutic Services, Inc. physically located at 99 Village Dr Ste 12, Jacksonville NC, 28546-7060. NPI Number 1033115704 has the healthcare provider type.

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1497882195 NPI number is provided on an as is basis without warranty of any kind. 1497882195 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Therapeutic Services, Inc. are for informational purposes only.