Organization
GENESIS IN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY L ALLEN (MANAGER)
(314) 389-1943
Entity
Organization
Contact information
Practice address
4711 GOODFELLOW BLVD, SAINT LOUIS, MO 63120-1516
(314) 389-1943
(314) 389-7117
Mailing address
4711 GOODFELLOW BLVD, SAINT LOUIS, MO 63120-1516
(314) 389-1943
(314) 389-7117
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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