Organization
GENESIS DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY L JOHNSON (CEO)
(515) 386-3017
Entity
Organization
Contact information
Practice address
401 W MCKINLEY ST, JEFFERSON, IA 50129-1421
(515) 386-3017
(515) 386-4642
Mailing address
PO BOX 438, JEFFERSON, IA 50129-0438
(515) 386-3017
(515) 386-4642
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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