Organization
GENESIS COMMUNITY HEALTH, INC.
Active
Other names
Atlantis High
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA WARREN (CEO)
(561) 806-6835
Entity
Organization
Contact information
Practice address
2455 W ATLANTIC AVE RM 5-107, DELRAY BEACH, FL 33445-4425
(561) 266-0961
Mailing address
639 E OCEAN AVE STE 409, BOYNTON BEACH, FL 33435-5017
(561) 806-6835
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006608619
—
FL
Enumeration date
10/11/2023
Last updated
11/04/2024
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