Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care |
385H00000X | |||
Respite Care, Physical Disabilities, Child |
385HR2065X |
| NPI # | 1841445608 |
| LBN Legal business name | GENESIS UNLIMTED RESOURCE INC. |
| Authorized official | JACKIE DUNACN - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/20/2008 |
| Last updated | 11/20/2008 - About 18 years ago |
| Identifiers | n/a |
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