A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Physical Disabilities |
320700000X | |||
Nursing Facility/Intermediate Care Facility |
313M00000X | A3[10] | Other Nursing Facility | |
Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320600000X |
| NPI # | 1306250675 |
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| LBN Legal business name | GENESIS | ||||||||
| Authorized official | JOELLA ESCOE - (OCCUPATIONAL THERAPY) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/16/2014 | ||||||||
| Last updated | 06/16/2014 - About 12 years ago | ||||||||
| Identifiers |
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