Organization
THE GENESIS PROGRAM
Active
Organization
THE GENESIS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEANLAY MICHAY CAREY (CEO)
(330) 730-7099
Entity
Organization
Contact information
Practice address
1104 JOHNSTON ST, AKRON, OH 44305-2414
(330) 730-7099
Mailing address
1104 JOHNSTON ST, AKRON, OH 44305-2414
(330) 730-7099
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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