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Organization
GENESIS HEALTH CENTER LLC
Active
Organization
GENESIS HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAN GOMEZ (MGR)
(954) 643-3848
Entity
Organization
Contact information
Practice address
50 LINDSEY CT STE 101-103, HIALEAH, FL 33010-5243
(954) 643-3848
Mailing address
5881 NW 151ST ST STE 112, MIAMI LAKES, FL 33014-2455
(954) 643-3848
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
05/07/2019
Last updated
09/11/2023
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