Organization
GENESIS SUPORTIVE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XAVIER WARREN (ASSISTANT OFFICE SUPPORT)
(414) 562-2567
Entity
Organization
Contact information
Practice address
1545 N 7TH ST, MILWAUKEE, WI 53205-2347
(414) 562-2567
(414) 264-7778
Mailing address
1545 N 7TH ST, MILWAUKEE, WI 53205-2347
(414) 562-2567
(414) 264-7778
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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