# GENESIS HEALTH AND BEAUTY BAR LLC

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

## Provider details

- **NPI number:** 1750088969
- **Authorized official:** BRITTANY AGUIRRE DO (OWNER)
- **Authorized official phone:** (251) 213-5061

## Contact information

- **Practice address:** 2101 US HIGHWAY 98, DAPHNE, AL 36526-4295
- **Practice address phone:** (251) 213-5061
- **Mailing address:** PO BOX 1952, FAIRHOPE, AL 36533-1952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2023
- **Last updated:** 02/08/2023