Organization
GENESIS SERVICES, LLC
Active
Parent organization
GENESIS SERVICES, LLC
Other names
Advent Renal Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS SERVICES, LLC
Authorized official
MILES DAVIS (ADMIN)
(800) 975-5201
Entity
Organization
Contact information
Practice address
3200 BAYCHESTER AVE, BRONX, NY 10475-1513
(718) 601-0200
(718) 601-0201
Mailing address
3200 BAYCHESTER AVE, BRONX, NY 10475-1513
(718) 601-0200
(718) 601-0201
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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