Organization
GENACTA TX
Active
Other names
genacta tx
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY N ISOLOKWU (OWNER)
(907) 884-0906
Entity
Organization
Contact information
Practice address
1335 COPPERCREST DR, SPRING, TX 77386-2263
(907) 884-0906
Mailing address
PO BOX 210672, ANCHORAGE, AK 99521-0672
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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