Genesis
NPI #1306250675 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1306250675
- Entity Type
- Organization
- Organization Name
- Genesis
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Jun 16, 2014
- Last Updated
- Jun 16, 2014
Practice Location
- Address
- 17110 E 51ST ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-9279
- Phone
- (918) 851-0737
Authorized Official
- Name
- MISS JOELLA ESCOE, COTA/L
- Title
- OCCUPATIONAL THERAPY
- Phone
- (918) 851-0737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Residential Treatment Facility, Physical Disabilities |
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