Organization
GENESIS NURSING AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERESIE A. ISOME (OWNER)
(254) 371-0934
Entity
Organization
Contact information
Practice address
509 W. LIBRA DR., KILLEEN, TX 76542-5771
(254) 634-1003
(254) 634-1005
Mailing address
509 W. LIBRA DR., KILLEEN, TX 76542-5771
(254) 634-1003
(254) 634-1005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/17/2013
Last updated
11/19/2013
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