Organization
GENESIS HOME STAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEIGH GREENE (ADMININISTRATOR/ OWNER)
(803) 848-6795
Entity
Organization
Contact information
Practice address
20 S MAGNOLIA ST, SUMTER, SC 29150-5243
(803) 848-6795
Mailing address
20 S MAGNOLIA ST, SUMTER, SC 29150-5243
(803) 848-6795
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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