# GENACTA TX

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- **Entity:** Organization
- **Status:** Active
- **Other names:** genacta tx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699045203
- **Authorized official:** JERRY N ISOLOKWU (OWNER)
- **Authorized official phone:** (907) 884-0906

## Contact information

- **Practice address:** 1335 COPPERCREST DR, SPRING, TX 77386-2263
- **Practice address phone:** (907) 884-0906
- **Mailing address:** PO BOX 210672, ANCHORAGE, AK 99521-0672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2012
- **Last updated:** 01/12/2012