| Genesis House, Inc. | |
|
549 Cox Rd Suite A Gastonia NC 28054-0628 | |
| (704) 852-3778 | |
| Not Available |
| Full Name | Genesis House, Inc. |
|---|---|
| Speciality | Case Management |
| Location | 549 Cox Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Kelvin Hall (PRESIDENT/CEO) |
| Authorized Official Contact | 7048523778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis House, Inc. Po Box 551389 Gastonia NC 28055-1389 Ph: (704) 852-3778 | Genesis House, Inc. 549 Cox Rd Suite A Gastonia NC 28054-0628 Ph: (704) 852-3778 |
| NPI Number | 1487958716 |
|---|---|
| Provider Enumeration Date | 12/30/2010 |
| Last Update Date | 04/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487958716 | NPI | - | NPPES |
| 8300892G | Medicaid | NC | |
| 8303041R | Medicaid | NC | |
| 8702052 | Medicaid | NC | |
| 5914113 | Medicaid | NC | |
| 6002315 | Medicaid | NC | |
| 6005952 | Medicaid | NC | |
| 8300892H | Medicaid | NC | |
| 8300892V | Medicaid | NC | |
| 8703125 | Medicaid | NC | |
| 8302550 | Medicaid | NC | |
| 8302550V | Medicaid | NC | |
| 8921979 | Medicaid | NC |
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