Organization
GENESIS ADULT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE WALKER (OWNER)
(314) 989-1002
Entity
Organization
Contact information
Practice address
8405 OLIVE BLVD, SAINT LOUIS, MO 63132-2815
(314) 989-1002
Mailing address
8405 OLIVE BLVD, SAINT LOUIS, MO 63132-2815
(314) 989-1002
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
763
MO
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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