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Genesis Home,ltd.
Intellectual Disabilities Intermediate Care Facility in Canfield, Ohio
NPI 1831316355

Genesis Home,ltd. is a Intellectual Disabilities Intermediate Care Facility based in Austintown, OH. Genesis Home,ltd. practices in Canfield, OH. The NPI Number for Genesis Home,ltd. is 1831316355 and holds a License No. 5000877 (Ohio).

The current practice location address for Genesis Home,ltd. is 3572 S Raccoon Rd, Canfield, OH and can be reached out via phone at 330-797-1502 and via fax at 330-797-1502.

Location: 3572 S Raccoon Rd, Canfield, OH, 44515-5228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831316355
Provider Name
Genesis Home,ltd.
Credential
Provider Entity Type
Organization
Address
3572 S Raccoon Rd, Canfield, OH, 44515-5228
Phone Number
330-797-1502
Fax Number
330-797-1502
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3572 S Raccoon Rd
City
Canfield
State
Ohio
Zip
44406-9360
Phone Number
330-797-1502
Fax Number
330-797-1502
person
Provider Business Mailing Address Details
Address
3572 S Raccoon Rd
City
Canfield
State
Ohio
Zip
44406-9360
Phone Number
330-797-1502
Fax Number
330-797-1502
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
5000877 (Ohio)
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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