Organization
GENESIS ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN MISOI (MANAGER)
(952) 465-7877
Entity
Organization
Contact information
Practice address
1019 MADISON ST S, SHAKOPEE, MN 55379-2056
(952) 600-7337
Mailing address
3735 158TH ST W, ROSEMOUNT, MN 55068-3843
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
04/17/2023
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