Organization
GENESIS PROVIDER CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIUS OGUNTAYO (ADMINISTRATOR)
(301) 357-1538
Entity
Organization
Contact information
Practice address
14419 ANDREA WAY LN, HOUSTON, TX 77083-7713
(301) 357-1538
Mailing address
14419 ANDREA WAY LN, HOUSTON, TX 77083-7713
(301) 357-1538
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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