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Contact Information

GENESIS LIFE, LLC
406 WINCHESTER STREET
WEST PLAINS, MO65775
 Phone: 417-270-0032
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for GENESIS LIFE, LLC

NPI Number 1215233580
LBN Legal business name GENESIS LIFE, LLC
Authorized official CHARLES SWIFT - (OWNER/ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2011
Last updated 02/04/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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