Genesis Development

NPI #1942327283 in Jefferson, Iowa

Provider Information

NPI Number: 1942327283
Entity Type: Organization
Organization Name: Genesis Development
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 23, 2007
Last Updated: May 5, 2010

Practice Location

Address: 401 W MCKINLEY ST
City: Jefferson
State: Iowa
ZIP Code: 50129-1421
Phone: (515) 386-3017

Authorized Official

Name: MR. TERRY L JOHNSON
Title: CEO
Phone: (515) 386-3017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Community Based Residential Treatment Facility, Mental Illness	320800000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Community/Behavioral Health	251S00000X
Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances	3104A0630X
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X
In Home Supportive Care	253Z00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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