Genesis I Assisted Living Facility Inc.

NPI #1255904231 in Midway, Florida

Provider Information

NPI Number: 1255904231
Entity Type: Organization
Organization Name: Genesis I Assisted Living Facility Inc.
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Jul 19, 2021
Last Updated: Jul 19, 2021

Practice Location

Address: 324 MINE RD
City: Midway
State: Florida
ZIP Code: 32343-2710
Phone: (850) 510-1757

Authorized Official

Name: TRACY FRANKLIN
Title: VICE PRESIDENT
Phone: (850) 510-1757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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