Organization
GENESIS FAMILY SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA BURKS (PRESIDENT/CEO)
(502) 224-7067
Entity
Organization
Contact information
Practice address
223 E MAGNOLIA AVE, LOUISVILLE, KY 40208-2025
(502) 224-7067
Mailing address
PO BOX 3183, LOUISVILLE, KY 40201-3183
(502) 224-7067
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29100054
—
KY
Enumeration date
11/15/2007
Last updated
11/15/2007
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