1023004561 GENESIS CORPORATION
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- GENESIS CORPORATION
- Enumeration Date
- September 20, 2005
- Last Update
- August 22, 2020
- Authorized Official
- MS. PAMELA GRAHAM
CONTROLLER
Phone: (805) 489-9472
Practice Location
- Address
- 17096 VIA FLORES
SAN LORENZO, CA 945802915 - Phone
- (510) 276-8442
- Fax
- (510) 276-7802
Mailing Address
- Address
- PO BOX 626
PISMO BEACH, CA 934480626 - Phone
- (805) 489-9472
- Fax
- (805) 474-6893
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | N/A | CA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC60739F | 05 | CA | N/A |
Frequently Asked Questions
What is GENESIS CORPORATION's NPI number?
GENESIS CORPORATION's NPI number is 1023004561.
Which doctor has NPI number 1023004561?
The doctor with NPI number 1023004561 is GENESIS CORPORATION.
What is GENESIS CORPORATION's practice address?
GENESIS CORPORATION's practice address is 17096 VIA FLORES, SAN LORENZO, CA, 945802915.
Which doctor practices at 17096 VIA FLORES, SAN LORENZO, CA, 945802915?
GENESIS CORPORATION practices at 17096 VIA FLORES, SAN LORENZO, CA, 945802915.
What is GENESIS CORPORATION's mailing address?
GENESIS CORPORATION's mailing address is PO BOX 626, PISMO BEACH, CA, 934480626.
What is GENESIS CORPORATION's phone number?
GENESIS CORPORATION's phone number is (510) 276-8442.
Who is (510) 276-8442?
(510) 276-8442 is the phone number for GENESIS CORPORATION.
What is GENESIS CORPORATION's specialty?
GENESIS CORPORATION's specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is GENESIS CORPORATION?
GENESIS CORPORATION is a Intellectual Disabilities Intermediate Care Facility.
Is GENESIS CORPORATION a Intermediate Care Facility, Intellectual Disabilities?
Yes, GENESIS CORPORATION is a Intermediate Care Facility, Intellectual Disabilities.
Is GENESIS CORPORATION still practicing?
Yes, GENESIS CORPORATION is currently practicing.
Is GENESIS CORPORATION accepting new patients?
GENESIS CORPORATION may be accepting new patients. Please call their office at (510) 276-8442 to inquire about availability.
Is NPI 1023004561 still active?
Yes, NPI 1023004561 is currently active.
Where does GENESIS CORPORATION practice?
GENESIS CORPORATION practices in SAN LORENZO, CA.