Organization
GENESIS 365 CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MARIE VANCOL (OWNER)
(617) 825-0717
Entity
Organization
Contact information
Practice address
114 FULLER ST # 1, DORCHESTER, MA 02124
(617) 825-0717
Mailing address
114 FULLER ST # 1, DORCHESTER, MA 02124-3735
(617) 825-0717
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/20/2018
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