# GENESIS HEALTHCARE SYSTEMS LLC

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

## Provider details

- **NPI number:** 1528349156
- **Authorized official:** MISS SONYA MARTIN WYCHE (DIRECTOR OF CONTRACTS)
- **Authorized official phone:** (313) 515-9129

## Contact information

- **Practice address:** 1885 LELAND DRIVE, MARIETTA, GA 30067
- **Practice address phone:** (586) 646-8612
- **Mailing address:** P. O. BOX 23362, CHATTANOOGA, TN 37422
- **Mailing address phone:** (770) 820-6702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2011
- **Last updated:** 02/28/2014