# GENESIS HOME HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083974612
- **Authorized official:** MRS. PATRICIA GUAJARDO REGISTERED NURSE (ADMINISTRATOR)
- **Authorized official phone:** (956) 740-0106

## Contact information

- **Practice address:** HATO REY PLZ, 200 AVE JESUS T PINEDO APT 21J, SAN JUAN, PR 00918-4109
- **Practice address phone:** (956) 740-0106
- **Mailing address:** COND HATO REY PLAZA, 200 AVE JESUS T PINEDO APT 21J, SAN JUAN, PR 00918
- **Mailing address phone:** (956) 740-0106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2012
- **Last updated:** 05/16/2012