Organization
GENESIS GLOBE NURSING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASONYA KING (OWNER)
(678) 650-5305
Entity
Organization
Contact information
Practice address
4947 WINTERVIEW LN, DOUGLASVILLE, GA 30135-1992
(678) 650-5305
Mailing address
4947 WINTERVIEW LN, DOUGLASVILLE, GA 30135-1992
(678) 650-5305
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
048-R-1175
GA
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
048-R-1175
GA
347E00000X
Transportation Broker
048-R-1175
GA
385H00000X
Respite Care
048-R-1175
GA
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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