Healthcare Provider Details

I. General information

NPI: 1447461066
Provider Name (Legal Business Name): GENESYS HEALTH ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 11/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3909 BEECHER RD
FLINT MI
48532-3602
US

IV. Provider business mailing address

3909 BEECHER RD
FLINT MI
48532-3602
US

V. Phone/Fax

Practice location:
  • Phone: 810-762-3662
  • Fax:
Mailing address:
  • Phone: 810-762-3662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. LARRY D BROTHERS
Title or Position: PRESIDENT
Credential:
Phone: 810-762-3662