Organization
GHC
Active
Other names
Genesis Home Care Link
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLINE BRANDON (ADMINISTRATOR)
(662) 843-0030
Entity
Organization
Contact information
Practice address
700 E SUNFLOWER RD, CLEVELAND, MS 38732-2726
(662) 843-0030
(662) 846-0833
Mailing address
PO BOX 1888, CLEVELAND, MS 38732-1888
(662) 843-0030
(662) 846-0833
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06074511
—
MS
Enumeration date
02/22/2010
Last updated
02/22/2010
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