Genesis Corporation
NPI #1023004561 in San Lorenzo, California
Provider Information
- NPI Number
- 1023004561
- Entity Type
- Organization
- Organization Name
- Genesis Corporation
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Sep 20, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 17096 VIA FLORES
- City
- San Lorenzo
- State
- California
- ZIP Code
- 94580-2915
- Phone
- (510) 276-8442
Authorized Official
- Name
- MS. PAMELA GRAHAM
- Title
- CONTROLLER
- Phone
- (805) 489-9472
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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