Genesis
NPI #1316231160 in Brooklyn Park, Maryland
Provider Information
- NPI Number
- 1316231160
- Entity Type
- Organization
- Organization Name
- Genesis
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jun 8, 2011
- Last Updated
- Jun 8, 2011
Practice Location
- Address
- 613 HAMMONDS LN
- City
- Brooklyn Park
- State
- Maryland
- ZIP Code
- 21225-3351
- Phone
- (410) 350-8514
Authorized Official
- Name
- MONIQUE PRICE
- Title
- PROGRAM MANAGER
- Phone
- (410) 350-8514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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