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Genesis At Home Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gilbert, Arizona
NPI 1346855848

Genesis At Home Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Gilbert, AZ. Genesis At Home Llc practices in Gilbert, AZ. The NPI Number for Genesis At Home Llc is 1346855848 and holds a License No. (Arizona).

The current practice location address for Genesis At Home Llc is 1027 W Calypso Ct, Gilbert, AZ and can be reached out via phone at 651-246-7242. You can also correspond with Genesis At Home Llc through the mailing address at 1027 W CALYPSO CT, GILBERT, AZ - 85233-6769 (mailing address contact number: ).

Location: 1027 W Calypso Ct, Gilbert, AZ, 85233-6769
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346855848
Provider Name
Genesis At Home Llc
Credential
Provider Entity Type
Organization
Address
1027 W Calypso Ct, Gilbert, AZ, 85233-6769
Phone Number
651-246-7242
Fax Number
Provider Enumeration Date
09/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1027 W Calypso Ct
City
Gilbert
State
Arizona
Zip
85233-6769
Phone Number
651-246-7242
Fax Number
person
Provider Business Mailing Address Details
Address
1027 W Calypso Ct
City
Gilbert
State
Arizona
Zip
85233-6769
Phone Number
651-246-7242
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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