Organization · NPI-2

Genesis Home Care LLC

Home Health Aide · Jonesboro, GA

NPI number1104330554
StatusActive
Last updated in NPPESNov 21, 2017

Details

NPI
1104330554
Entity type
Organization (NPI-2)
Legal business name
Genesis Home Care LLC
Organization subpart
No
Enumeration date
Nov 21, 2017
Last updated
Nov 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide–GAYes

Practice location

1228 Bonita Cir
Jonesboro, GA 30238-7882

Phone 770-875-7152

Mailing address

3707 Main St
College Park, GA 30337-3544

Phone 770-808-6070 · Fax 770-679-8593

Authorized official

Brian D Greer
Owner
7708086070

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