Organization
GENESEIS DREAMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA JEAN GREGORY (PRESIDENT)
(419) 683-4711
Entity
Organization
Contact information
Practice address
313 SOUTH ST, CRESTLINE, OH 44827-1556
(419) 683-4711
(419) 683-9911
Mailing address
313 SOUTH ST, CRESTLINE, OH 44827-1556
(419) 683-4711
(419) 683-9911
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1511936
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2624780
—
OH
Enumeration date
11/15/2006
Last updated
08/22/2020
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