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Genesis
Physical Disabilities Residential Treatment Facility in Broken Arrow, Oklahoma
NPI 1306250675

Genesis is a Physical Disabilities Residential Treatment Facility based in Broken, OK. Genesis practices in Broken Arrow, OK. The NPI Number for Genesis is 1306250675 and holds a License No. 280 (Oklahoma).

The current practice location address for Genesis is 17110 E 51St St, Broken Arrow, OK and can be reached out via phone at 918-851-0737.

Location: 17110 E 51St St, Broken Arrow, OK, 74012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306250675
Provider Name
Genesis
Credential
Provider Entity Type
Organization
Address
17110 E 51St St, Broken Arrow, OK, 74012
Phone Number
918-851-0737
Fax Number
Provider Enumeration Date
06/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17110 E 51St St
City
Broken Arrow
State
Oklahoma
Zip
74012-9279
Phone Number
918-851-0737
Fax Number
person
Provider Business Mailing Address Details
Address
17110 E 51St St
City
Broken Arrow
State
Oklahoma
Zip
74012-9279
Phone Number
918-851-0737
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
280 (Oklahoma)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
OA280 (Oklahoma)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
280 (Oklahoma)
Definition
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.
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