institution
Genesis Therapeutic Services, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jacksonville, North Carolina
NPI 1497882195

Genesis Therapeutic Services, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Jacksonville, NC. Genesis Therapeutic Services, Inc. practices in Jacksonville, NC. The NPI Number for Genesis Therapeutic Services, Inc. is 1497882195 and holds a License No. MHL-067-165 (North Carolina).

The current practice location address for Genesis Therapeutic Services, Inc. is 99 Village Dr Ste 12, Jacksonville, NC and can be reached out via phone at 910-577-8200 and via fax at 910-577-8270.

Location: 99 Village Dr Ste 12, Jacksonville, NC, 28546-7060
institution
Provider Profile Details
NPI Number
1497882195
Provider Name
Genesis Therapeutic Services, Inc.
Credential
Provider Entity Type
Organization
Address
99 Village Dr Ste 12, Jacksonville, NC, 28546-7060
Phone Number
910-577-8200
Fax Number
910-577-8270
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8300859G 05 NC
8300858G 05 NC
8300859B 05 NC
8300858B 05 NC
3409583 05 NC
8300858 05 NC
8300859 05 NC
institution
Provider Business Practice Location Address Details
Address
99 Village Dr Ste 12
City
State
Zip
28546-7060
Phone Number
910-577-8200
Fax Number
910-577-8270
person
Provider Business Mailing Address Details
Address
99 Village Dr Ste 12
City
State
Zip
28546-7060
Phone Number
910-577-8200
Fax Number
910-577-8270
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL-067-165 (North Carolina)
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.
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