# GENESIS GLOBE NURSING CARE

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

## Provider details

- **NPI number:** 1881094597
- **Authorized official:** CASONYA KING (OWNER)
- **Authorized official phone:** (678) 650-5305

## Contact information

- **Practice address:** 4947 WINTERVIEW LN, DOUGLASVILLE, GA 30135-1992
- **Practice address phone:** (678) 650-5305
- **Mailing address:** 4947 WINTERVIEW LN, DOUGLASVILLE, GA 30135-1992
- **Mailing address phone:** (678) 650-5305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | 048-R-1175 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | 048-R-1175 | GA | — |
| 347E00000X | Transportation Broker | 048-R-1175 | GA | — |
| 385H00000X | Respite Care | 048-R-1175 | GA | — |

## Other

- **Enumeration date:** 08/29/2014
- **Last updated:** 08/29/2014