Organization
GENESIS HOME HEALTH SERVICES, INC.- PCA
Active
Parent organization
GENESIS HOME HEALTH SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS HOME HEALTH SERVICES, INC.
Authorized official
QUERUBIN IGUBAN MD (CEO)
(775) 753-7626
Entity
Organization
Contact information
Practice address
2620 RUBY VISTA DR, ELKO, NV 89801-1638
(775) 753-7626
(775) 753-7626
Mailing address
2620 RUBY VISTA DR, ELKO, NV 89801-1638
(775) 753-7626
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173342000194
—
NV
Enumeration date
12/08/2017
Last updated
12/08/2017
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