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Organization
GENESIS HEALTHCARE SYSTEMS LLC
Active
Organization
GENESIS HEALTHCARE SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SONYA MARTIN WYCHE (DIRECTOR OF CONTRACTS)
(313) 515-9129
Entity
Organization
Contact information
Practice address
1885 LELAND DRIVE, MARIETTA, GA 30067
(586) 646-8612
Mailing address
P. O. BOX 23362, CHATTANOOGA, TN 37422
(770) 820-6702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
111NX0100X
Occupational Health Chiropractor
—
—
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
2355S0801X
Speech-Language Assistant
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/09/2011
Last updated
02/28/2014
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