Organization
GENESIS TOTAL HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY A EKONG RN (VICE PRESIDENT)
(810) 742-4353
Entity
Organization
Contact information
Practice address
4199 DAVISON RD, SUITE C, BURTON, MI 48509-1468
(810) 742-4353
(810) 743-4355
Mailing address
4199 DAVISON RD, SUITE C, BURTON, MI 48509-1468
(810) 742-4353
(810) 742-4355
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
06/18/2006
Last updated
07/23/2008
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