Genesis Assisted Living Facility, INC
Assisted Living Facility in North Lauderdale, FL. Organization (NPI-2).
NPI number1487959615
StatusActive
Last updated in NPPESJan 19, 2011
Details
- NPI
- 1487959615
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Assisted Living Facility, INC
- Organization subpart
- No
- Enumeration date
- Jan 19, 2011
- Last updated
- Jan 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 11025 | FL | Yes |
Practice location
1510 Sw 68 AveNorth Lauderdale, FL 33068
Phone 954-971-0246
Mailing address
1510 Sw 68 AveNorth Lauderdale, FL 33068
Phone 954-971-0246
Authorized official
Priscilla Mowatt
Owner/Administrator
9549710246
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