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Organization

GENESIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. IWONNA MARIA MATTHEWS PT (DOR)
(919) 851-8000
Entity
Organization

Contact information

Practice address
6590 TRYON RD, CARY, NC 27518-7052
(919) 851-8000
Mailing address
4329 HAWKSONG PL, CARY, NC 27518-5480
(919) 387-0878

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3368
NC

Other

Enumeration date
02/17/2012
Last updated
02/17/2012
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