Organization
GENESIS HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE C SMITSON R.N. (PRESIDENT)
(903) 509-3374
Entity
Organization
Contact information
Practice address
116 E HERITAGE DR, TYLER, TX 75703-5155
(903) 509-3374
(903) 509-3380
Mailing address
116 E HERITAGE DR, TYLER, TX 75703-5155
(903) 509-3374
(903) 509-3380
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
002424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH9404
BLUE CROSS/BLUE SHIELD TX
TX
Enumeration date
07/07/2005
Last updated
08/22/2020
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