Organization
GENESIS HOME CARE, INC
Active
Other names
DBA ALPHA GENESIS HOME CARE, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GIFTY ANNETTE DUBOIS RN (ADMINISTRATOR, CEO)
(562) 923-3990
Entity
Organization
Contact information
Practice address
8109 2ND ST, SUITE#3, DOWNEY, CA 90241-3623
(562) 923-3990
(562) 923-2440
Mailing address
8109 2ND ST, SUITE#3, DOWNEY, CA 90241-3623
(562) 923-3990
(562) 923-2440
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA07428F
—
CA
01
—
ZZZ24141Z
BLUE SHIELD PROVIDER NUMB
CA
Enumeration date
11/06/2006
Last updated
08/22/2020
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