Organization
GENESIS DISABILITY CARE PROVIDER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ANITA BAKER (PRESIDENT)
(512) 905-1327
Entity
Organization
Contact information
Practice address
1003 VINTAGE DR, LEANDER, TX 78641-2994
(512) 905-1327
(512) 337-5644
Mailing address
PO BOX 1841, CEDAR PARK, TX 78630-1841
(512) 905-1327
(125) 337-5644
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
09/26/2014
Last updated
12/20/2022
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