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Organization
GENESIS GLOBAL NETWORK
Active
Organization
GENESIS GLOBAL NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERLIEA WATSON (PRESIDENT)
(501) 626-6090
Entity
Organization
Contact information
Practice address
10515 W MARKHAM ST # H8, LITTLE ROCK, AR 72205-2139
(501) 626-6090
Mailing address
10515 W MARKHAM ST # H8, LITTLE ROCK, AR 72205-2139
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
00000000
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
BL00096923
AR
343900000X
Non-emergency Medical Transport (VAN)
BL00096923
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366746430
—
AR
Enumeration date
01/05/2011
Last updated
10/19/2011
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