Organization
GENESIS HEALTHCARE SYSTEM
Active
Organization
GENESIS HEALTHCARE SYSTEM
Active
Other names
Genesis Women's Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NORMAN (CFO)
(740) 454-4773
Entity
Organization
Contact information
Practice address
2951 MAPLE AVE, ZANESVILLE, OH 43701
(740) 454-4701
(740) 455-7588
Mailing address
2951 MAPLE AVE, ZANESVILLE, OH 43701-1406
(740) 454-4701
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2673692
—
OH
Enumeration date
02/01/2007
Last updated
10/18/2018
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