Organization
GENESIS MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYANA SANTANDER MORALES (MANAGER)
(702) 498-8903
Entity
Organization
Contact information
Practice address
3216 W CHARLESTON BLVD STE C, LAS VEGAS, NV 89102-1983
(170) 249-8890
Mailing address
3216 W CHARLESTON BLVD STE C, LAS VEGAS, NV 89102-1983
(170) 249-8890
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
NV
Enumeration date
10/26/2021
Last updated
10/26/2021
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