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Genesis Corporation
Intellectual Disabilities Intermediate Care Facility in Hayward, California
NPI 1750377297

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 1750377297 and holds a License No. (California).

The current practice location address for Genesis Corporation is 21860 Main St, Hayward, CA and can be reached out via phone at 510-727-1518 and via fax at 510-727-9927.

Location: 21860 Main St, Hayward, CA, 93448-0626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750377297
Provider Name
Genesis Corporation
Credential
Provider Entity Type
Organization
Address
21860 Main St, Hayward, CA, 93448-0626
Phone Number
510-727-1518
Fax Number
510-727-9927
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80220F 05 CA
institution
Provider Business Practice Location Address Details
Address
21860 Main St
City
Hayward
State
California
Zip
94541-2614
Phone Number
510-727-1518
Fax Number
510-727-9927
person
Provider Business Mailing Address Details
Address
21860 Main St
City
Hayward
State
California
Zip
94541-2614
Phone Number
510-727-1518
Fax Number
510-727-9927
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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