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Organization

GENESIS HOME CARE, LLC

Active
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Organization

GENESIS HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAWANNA MCLEAN (OWNER)
(919) 770-2617
Entity
Organization

Contact information

Practice address
306 COURT SQ, SANFORD, NC 27330-5657
(919) 770-2617
(888) 261-8306
Mailing address
306 COURT SQ, SANFORD, NC 27330-5657
(919) 770-2617
(888) 261-8306

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
332U00000X
Home Delivered Meals
—
—
374U00000X
Home Health Aide
—
—

Other

Enumeration date
07/29/2026
Last updated
07/29/2026
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