# GENESIS HEALTHCARE PRODUCTS INC

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

## Provider details

- **NPI number:** 1508362856
- **Authorized official:** MRS. MARILOU JOHAR (PRESIDENT)
- **Authorized official phone:** (657) 233-8500

## Contact information

- **Practice address:** 830 E VISTA WAY STE 113, VISTA, CA 92084-5216
- **Practice address phone:** (657) 233-8500
- **Mailing address:** 830 E VISTA WAY STE 113, VISTA, CA 92084-5216
- **Mailing address phone:** (657) 233-8500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2018
- **Last updated:** 06/05/2020
