Organization
GENESIS 1 THE HOUSE OF CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALESIA ANITA RAWLS (CHIEF EXECUTIVE)
(757) 477-6882
Entity
Organization
Contact information
Practice address
314 WASHINGTON AVE, FRANKLIN, VA 23851-1553
(757) 562-5505
(757) 562-5500
Mailing address
314 WASHINGTON AVE, FRANKLIN, VA 23851-1553
(757) 562-5505
(757) 562-5500
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
130301001
VA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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