Organization
GENESIS UNIVERSAL HEALTHCARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENSON EKONG (PRESIDENT)
(810) 720-0104
Entity
Organization
Contact information
Practice address
4199 DAVISON RD, BURTON, MI 48509-1403
(810) 744-2331
Mailing address
2057 S LINDEN RD, FLINT, MI 48532-4160
(810) 720-0104
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4405025
—
MI
Enumeration date
06/27/2006
Last updated
08/17/2018
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