National Provider Identifier Database

GENESIS LIFE LLC
Day Training, Developmentally Disabled Services

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.


Contact Information

GENESIS LIFE, LLC
406 WINCHESTER STREET
WEST PLAINS, MO65775
Phone: 417-270-0032
Fax:
Website:
Specialty Taxonomy Code
* Day Training, Developmentally Disabled Services 251C00000X

* Indicates primary specialty

NPI Profile & details for GENESIS LIFE, LLC

NPI Number 1215233580
Legal business name
LBN
GENESIS LIFE, LLC
Authorized official CHARLES SWIFT - (OWNER/ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 02/04/2011
Last updated 02/04/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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