Organization
GENESIS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKRYSTAL NEWSON (OWNER)
(901) 334-8615
Entity
Organization
Contact information
Practice address
7193 SWINNEA RD STE A, SOUTHAVEN, MS 38671-6351
(901) 334-8615
Mailing address
7193 SWINNEA RD STE A, SOUTHAVEN, MS 38671-6351
(662) 470-6424
(662) 470-6431
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
09/15/2021
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