Genesis 365 Care LLC
NPI #1164908794 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1164908794
- Entity Type
- Organization
- Organization Name
- Genesis 365 Care LLC
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Jul 17, 2018
- Last Updated
- Jul 20, 2018
Practice Location
- Address
- 114 FULLER ST # 1
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02124
- Phone
- (617) 825-0717
Authorized Official
- Name
- ROSE MARIE VANCOL
- Title
- OWNER
- Phone
- (617) 825-0717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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