Genesis Development

NPI #1003887639 in Jefferson, Iowa

Provider Information

NPI Number
1003887639
Entity Type
Organization
Organization Name
Genesis Development
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 31, 2006
Last Updated
May 5, 2010

Practice Location

Address
401 W MCKINLEY ST
State
Iowa
ZIP Code
50129-1421
Phone
(515) 386-3017

Authorized Official

Name
MR. TERRY JOHNSON
Title
CEO
Phone
(515) 386-3017

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Community Based Residential Treatment Facility, Mental Illness
Custodial Care Facility - Adult Care HomeAdult Care Home
Assisted Living Facility - Assisted Living, Behavioral DisturbancesAssisted Living, Behavioral Disturbances
Assisted Living Facility - Assisted Living, Mental IllnessAssisted Living, Mental Illness
Community/Behavioral Health
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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