Organization
GENESIS ADULT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE WALKER R.N. (DIRECTOR)
(314) 989-1002
Entity
Organization
Contact information
Practice address
8420 OLIVE BLVD, SAINT LOUIS, MO 63132-2816
(314) 989-1002
(866) 891-1631
Mailing address
8420 OLIVE BLVD, SAINT LOUIS, MO 63132-2816
(314) 989-1002
(866) 891-1631
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1007
MO
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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