Organization
GENESIS HOMES OF JACKSON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLY S KEINATH (PRESIDENT)
(517) 782-3280
Entity
Organization
Contact information
Practice address
6853 HAGUE AVE, JACKSON, MI 49201-8334
(517) 782-3280
Mailing address
6853 HAGUE AVE, JACKSON, MI 49201-8334
(517) 782-3280
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AF380246001
MI
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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