Organization
GENESIS HOME,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JO ANN FLIOTSOS (ADMINISTRATOR)
(330) 799-3235
Entity
Organization
Contact information
Practice address
3572 S RACCOON RD, CANFIELD, OH 44406-9360
(330) 797-1502
(330) 797-1502
Mailing address
4409 BARRINGTON DR, AUSTINTOWN, OH 44515-5228
(330) 799-3235
(330) 799-3235
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
5000877
OH
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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