Organization
G.H.C. INCORPORATED
Active
Other names
Genesis Home Carelink Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLINE K. BRANDON RN (ADMINISTRATION)
(662) 846-7412
Entity
Organization
Contact information
Practice address
548 ROSEMARY RD STE C, CLEVELAND, MS 38732-2075
(662) 846-7412
(662) 846-0188
Mailing address
PO BOX 145, CLEVELAND, MS 38732-0145
(662) 846-7412
(662) 846-0188
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
1554
MS
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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