Genesis Life, LLC
NPI #1215233580 in West Plains, Missouri
Provider Information
- NPI Number
- 1215233580
- Entity Type
- Organization
- Organization Name
- Genesis Life, LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Feb 4, 2011
- Last Updated
- Feb 4, 2011
Practice Location
- Address
- 406 WINCHESTER STREET
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775
- Phone
- (417) 270-0032
Authorized Official
- Name
- CHARLES SWIFT
- Title
- OWNER/ADMINISTRATOR
- Phone
- (417) 270-0032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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