Organization
GENESIS NATIONAL ALLIANCE LLC
Active
Other names
FirstLight Home Care of Boardman-Warren
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT SENCHAK (OWNER)
(330) 318-3234
Entity
Organization
Contact information
Practice address
4390 MAHONING AVE, YOUNGSTOWN, OH 44515
(330) 318-3234
(330) 319-7889
Mailing address
4390 MAHONING AVE, YOUNGSTOWN, OH 44515
(330) 318-3234
(330) 319-7889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209270
—
OH
Enumeration date
12/24/2013
Last updated
02/06/2020
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