Organization
GENESIS HOME CARE
Active
Other names
GENESIS
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE K BOATENG (ADMINISTRATOR)
(404) 998-9917
Entity
Organization
Contact information
Practice address
2552 PITKIN AVE UNIT 152, BROOKLYN, NY 11208-2498
(404) 998-9917
Mailing address
1275 STONEY FIELD PL, LAWRENCEVILLE, GA 30043-3831
(404) 998-9917
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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