Organization
GENESIS ELDERCARE PHYSICIAN SERVICES LLC
Active
Parent organization
GENESIS HEALTHCARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS HEALTHCARE, LLC
Authorized official
ERIC SHAPIRO (VICE PRESIDENT)
(410) 832-7790
Entity
Organization
Contact information
Practice address
420 DEAN DR, GARDENDALE, AL 35071
(205) 631-8709
Mailing address
PO BOX 62946, BALTIMORE, MD 21264-2946
(410) 494-7607
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
08/05/2019
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