# GENESIS

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

## Provider details

- **NPI number:** 1568735744
- **Authorized official:** MS. IWONNA MARIA MATTHEWS PT (DOR)
- **Authorized official phone:** (919) 851-8000

## Contact information

- **Practice address:** 6590 TRYON RD, CARY, NC 27518-7052
- **Practice address phone:** (919) 851-8000
- **Mailing address:** 4329 HAWKSONG PL, CARY, NC 27518-5480
- **Mailing address phone:** (919) 387-0878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 3368 | NC | Yes |

## Other

- **Enumeration date:** 02/17/2012
- **Last updated:** 02/17/2012