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Genesis Corporation
Intellectual Disabilities Intermediate Care Facility in Goleta, California
NPI 1891781324

Genesis Corporation is a Intellectual Disabilities Intermediate Care Facility based in Pismo Beach, CA. Genesis Corporation practices in Goleta, CA. The NPI Number for Genesis Corporation is 1891781324 and holds a License No. (California).

The current practice location address for Genesis Corporation is 264 Salisbury Ave, Goleta, CA and can be reached out via phone at 805-685-8265 and via fax at 805-685-0863.

Location: 264 Salisbury Ave, Goleta, CA, 93448-0626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891781324
Provider Name
Genesis Corporation
Credential
Provider Entity Type
Organization
Address
264 Salisbury Ave, Goleta, CA, 93448-0626
Phone Number
805-685-8265
Fax Number
805-685-0863
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80228F 05 CA
institution
Provider Business Practice Location Address Details
Address
264 Salisbury Ave
City
Goleta
State
California
Zip
93117-1011
Phone Number
805-685-8265
Fax Number
805-685-0863
person
Provider Business Mailing Address Details
Address
264 Salisbury Ave
City
Goleta
State
California
Zip
93117-1011
Phone Number
805-685-8265
Fax Number
805-685-0863
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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