Organization
GENESIS MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA SMITH JACKSON (RECORDS MANAGER/COOWNER)
(434) 610-6132
Entity
Organization
Contact information
Practice address
1560 KNOTT ST, LYNCHBURG, VA 24502-5107
(434) 237-2044
(434) 237-2055
Mailing address
1560 KNOTT ST, LYNCHBURG, VA 24502-5107
(434) 237-2044
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1751
VA
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up