Organization
GENESIS
Active
Parent organization
GENESIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS
Authorized official
JO ANN MARIE HAMMEL (PHYSICAL THERAPIST ASSISTANT)
(727) 698-9657
Entity
Organization
Contact information
Practice address
1413 CITRUS ST, CLEARWATER, FL 33756-2330
(727) 698-9657
Mailing address
1413 CITRUS ST, CLEARWATER, FL 33756-2330
(727) 698-9657
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PTA2282
FL
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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