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Organization

GENESIS MEDIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARABA SACKEY (DIRECTOR)
(714) 348-5631
Entity
Organization

Contact information

Practice address
1091 S MATTHEW WAY, ANAHEIM, CA 92808-1459
(714) 348-5631
Mailing address
1091 S MATTHEW WAY, ANAHEIM, CA 92808-1459
(714) 348-5631

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
95004382
CA
261QC1500X
Community Health Clinic/Center
95004382
CA

Other

Enumeration date
07/21/2017
Last updated
07/21/2022
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