# GENESIS HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centric Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407202740
- **Authorized official:** MR. JONATHAN AUSTIN (ADMINISTRATOR)
- **Authorized official phone:** (580) 745-9030

## Contact information

- **Practice address:** 1605 N WASHINGTON AVE, DURANT, OK 74701-2129
- **Practice address phone:** (559) 423-6878
- **Practice address fax:** (557) 107-0228
- **Mailing address:** PO BOX 325, SHERMAN, TX 75091-0325
- **Mailing address phone:** (855) 942-3687
- **Mailing address fax:** (855) 710-7022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 8060 | OK | Yes |

## Other

- **Enumeration date:** 05/05/2016
- **Last updated:** 09/23/2024