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Organization

GENESIS RESOURCES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNA BYRD BIERNACKI RN, BHCA, CCM, CPUR (PRESIDENT)
(954) 483-1016
Entity
Organization

Contact information

Practice address
4801 JEFFERSON ST, HOLLYWOOD, FL 33021-7625
(954) 986-4268
(954) 893-7238
Mailing address
4801 JEFFERSON ST, HOLLYWOOD, FL 33021-7625
(954) 986-4268
(954) 893-7238

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW2565
FL
163W00000X
Registered Nurse
RN1372342
FL
163WC0400X
Case Management Registered Nurse
RN1226352
FL
163WC0400X
Case Management Registered Nurse
RN1372342
FL
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN1226352
FL
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN1372342
FL
163WG0600X
Gerontology Registered Nurse
RN1226352
FL
163WG0600X
Gerontology Registered Nurse
RN1372342
FL
163WH0200X
Home Health Registered Nurse
RN1372342
FL
171M00000X
Case Manager/Care Coordinator
Primary
SW2565
FL

Other

Enumeration date
07/26/2009
Last updated
07/26/2009
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