Genesis Adult Care, LLC

NPI #1144596263 in Saint Louis, Missouri

Provider Information

NPI Number
1144596263
Entity Type
Organization
Organization Name
Genesis Adult Care, LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Mar 23, 2012
Last Updated
Mar 23, 2012

Practice Location

Address
8420 OLIVE BLVD
ZIP Code
63132-2816
Phone
(314) 989-1002

Authorized Official

Name
JUNE WALKER, R.N.
Title
DIRECTOR
Phone
(314) 989-1002

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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