# GENESIS HEALTH CENTER LLC

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

## Provider details

- **NPI number:** 1518522275
- **Authorized official:** MIRIAN GOMEZ (MGR)
- **Authorized official phone:** (954) 643-3848

## Contact information

- **Practice address:** 50 LINDSEY CT STE 101-103, HIALEAH, FL 33010-5243
- **Practice address phone:** (954) 643-3848
- **Mailing address:** 5881 NW 151ST ST STE 112, MIAMI LAKES, FL 33014-2455
- **Mailing address phone:** (954) 643-3848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/07/2019
- **Last updated:** 09/11/2023