Organization
GENESIS HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE R. SMITH (OWNER)
(252) 353-0127
Entity
Organization
Contact information
Practice address
609 COUNTRY CLUB DR, SUITE D, GREENVILLE, NC 27834-6208
(252) 353-0127
(252) 353-0137
Mailing address
609 COUNTRY CLUB DR, SUITE D, GREENVILLE, NC 27834-6208
(252) 353-0127
(252) 353-0137
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/02/2011
Last updated
03/09/2012
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