# GENESYS PEDIATRIC HOME CARE, LLC

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

## Provider details

- **NPI number:** 1255771473
- **Authorized official:** MARIA G NANKIL RN (PRESIDENT/CEO)
- **Authorized official phone:** (757) 449-4885

## Contact information

- **Practice address:** 6363 CENTER DR, 201, NORFOLK, VA 23502-4103
- **Practice address phone:** (757) 449-4885
- **Practice address fax:** (757) 961-5253
- **Mailing address:** 6363 CENTER DR, 201, NORFOLK, VA 23502-4103
- **Mailing address phone:** (757) 449-4885
- **Mailing address fax:** (757) 961-5253

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2013
- **Last updated:** 07/02/2013