| Genesis Development | |
|
401 W Mckinley St Jefferson IA 50129-1421 | |
| (515) 386-3017 | |
| (515) 386-4642 |
| Full Name | Genesis Development |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 401 W Mckinley St, Jefferson, Iowa |
| Authorized Official Name and Position | Terry L Johnson (CEO) |
| Authorized Official Contact | 5153863017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Development Po Box 438 Jefferson IA 50129-0438 Ph: (515) 386-3017 | Genesis Development 401 W Mckinley St Jefferson IA 50129-1421 Ph: (515) 386-3017 |
| NPI Number | 1871779470 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 01/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871779470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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