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Genesis Corporation
Intellectual Disabilities Intermediate Care Facility in Santa Maria, California
NPI 1043206576

Genesis Corporation is a Intellectual Disabilities Intermediate Care Facility based in Pismo Beach, CA. Genesis Corporation practices in Santa Maria, CA. The NPI Number for Genesis Corporation is 1043206576 and holds a License No. (California).

The current practice location address for Genesis Corporation is 273 Mooncrest Ln, Santa Maria, CA and can be reached out via phone at 805-937-5224 and via fax at 805-934-0860.

Location: 273 Mooncrest Ln, Santa Maria, CA, 93448-0626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043206576
Provider Name
Genesis Corporation
Credential
Provider Entity Type
Organization
Address
273 Mooncrest Ln, Santa Maria, CA, 93448-0626
Phone Number
805-937-5224
Fax Number
805-934-0860
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80923F 05 CA
institution
Provider Business Practice Location Address Details
Address
273 Mooncrest Ln
City
Santa Maria
State
California
Zip
93455-3713
Phone Number
805-937-5224
Fax Number
805-934-0860
person
Provider Business Mailing Address Details
Address
273 Mooncrest Ln
City
Santa Maria
State
California
Zip
93455-3713
Phone Number
805-937-5224
Fax Number
805-934-0860
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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