Organization
GENESIS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA RICHARDSON (EXECUTIVE DIRECTOR)
(919) 724-1520
Entity
Organization
Contact information
Practice address
925 SOUTH ST, PORTSMOUTH, VA 23704-4125
(919) 724-1520
Mailing address
925 SOUTH ST, PORTSMOUTH, VA 23704-4125
(919) 724-1520
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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