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Genesis Corporation
Intellectual Disabilities Intermediate Care Facility in Hayward, California
NPI 1679569115

Genesis Corporation is a Intellectual Disabilities Intermediate Care Facility based in Pismo Beach, CA. Genesis Corporation practices in Hayward, CA. The NPI Number for Genesis Corporation is 1679569115 and holds a License No. (California).

The current practice location address for Genesis Corporation is 3336 Bridle Dr, Hayward, CA and can be reached out via phone at 510-582-2873 and via fax at 510-582-4463.

Location: 3336 Bridle Dr, Hayward, CA, 93448-0626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679569115
Provider Name
Genesis Corporation
Credential
Provider Entity Type
Organization
Address
3336 Bridle Dr, Hayward, CA, 93448-0626
Phone Number
510-582-2873
Fax Number
510-582-4463
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80260F 05 CA
institution
Provider Business Practice Location Address Details
Address
3336 Bridle Dr
City
Hayward
State
California
Zip
94541-5706
Phone Number
510-582-2873
Fax Number
510-582-4463
person
Provider Business Mailing Address Details
Address
3336 Bridle Dr
City
Hayward
State
California
Zip
94541-5706
Phone Number
510-582-2873
Fax Number
510-582-4463
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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