Organization
GENESIS ASSISTED LIVING FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA MOWATT (OWNER/ADMINISTRATOR)
(954) 971-0246
Entity
Organization
Contact information
Practice address
1510 SW 68 AVE, NORTH LAUDERDALE, FL 33068
(954) 971-0246
Mailing address
1510 SW 68 AVE, NORTH LAUDERDALE, FL 33068
(954) 971-0246
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11025
FL
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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