Organization
GENESIS CARELINK
Active
Other names
Genesis Hospice Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLINE BRANDON MORRIS RN (OWNER, ADMINISTRATOR)
(662) 846-0922
Entity
Organization
Contact information
Practice address
705 E SUNFLOWER ROAD, CLEVELAND, MS 38732-1888
(666) 284-6092
(662) 846-0115
Mailing address
6341 HIGHWAY 51 N, SUITE 6, HORN LAKE, MS 38637-2476
(662) 393-3414
(662) 393-3474
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
118
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770306
—
MS
Enumeration date
07/22/2008
Last updated
07/22/2008
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