Genesis Living

NPI #1508437997 in Maricopa, Arizona

Provider Information

NPI Number: 1508437997
Entity Type: Organization
Organization Name: Genesis Living
Subpart: Yes (part of a larger organization)
Parent Organization: GENESIS LIVING
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jul 7, 2021
Last Updated: Jul 7, 2021

Practice Location

Address: 41804 W CARLISLE LN
City: Maricopa
State: Arizona
ZIP Code: 85138-3263
Phone: (651) 955-6535

Authorized Official

Name: RITA AGHENTA
Title: ADMINISTRATOR
Phone: (651) 955-6535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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