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Genesis Corporation
Intellectual Disabilities Intermediate Care Facility in San Leandro, California
NPI 1942296488

Genesis Corporation is a Intellectual Disabilities Intermediate Care Facility based in Pismo Beach, CA. Genesis Corporation practices in San Leandro, CA. The NPI Number for Genesis Corporation is 1942296488 and holds a License No. (California).

The current practice location address for Genesis Corporation is 2225 Barrow St, San Leandro, CA and can be reached out via phone at 510-352-8537 and via fax at 510-352-8241. You can also correspond with Genesis Corporation through the mailing address at PO BOX 626, PISMO BEACH, CA - 93448-0626 (mailing address contact number: 805-489-9472).

Location: 2225 Barrow St, San Leandro, CA, 93448-0626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942296488
Provider Name
Genesis Corporation
Credential
Provider Entity Type
Organization
Address
2225 Barrow St, San Leandro, CA, 93448-0626
Phone Number
510-352-8537
Fax Number
510-352-8241
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80253F 05 CA
institution
Provider Business Practice Location Address Details
Address
2225 Barrow St
City
San Leandro
State
California
Zip
94577-3217
Phone Number
510-352-8537
Fax Number
510-352-8241
person
Provider Business Mailing Address Details
Address
2225 Barrow St
City
San Leandro
State
California
Zip
94577-3217
Phone Number
510-352-8537
Fax Number
510-352-8241
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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