Organization
GENESIS HEALTHCARE SYSTEM
Active
Other names
Genesis Hospice and Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NORMAN (CFO)
(740) 454-4773
Entity
Organization
Contact information
Practice address
713 FOREST AVE, ZANESVILLE, OH 43701-2819
(740) 454-5365
(740) 455-7592
Mailing address
713 FOREST AVE, ZANESVILLE, OH 43701-2819
(740) 454-5365
(740) 455-7592
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0013HSP
OH
315D00000X
Inpatient Hospice
0013HSP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000104
—
OH
Enumeration date
10/31/2006
Last updated
11/05/2018
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