DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GENESIS RECOVERY SERVICES, INC.

MEDICARE: GENESIS RECOVERY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility297960AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1324500000XOTHERAKSUBSTANCE ABUSE TREATMENT

General Provider Information

NPI Number : 1295753895
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS RECOVERY SERVICES, INC.
Provider Business Mailing Address
First Line : 2825 W 42ND AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99517-2830
Country : US
Telephone Number : 907-243-5130
Fax Number : 907-248-8350
Provider Business Practice Location Address
First Line : 2825 W 42ND AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99517-2830
Country : US
Telephone Number : 907-243-5130
Fax Number : 907-248-8350
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. ANTHONY LONGVAL JR.
Credential : PH.D.
Telephone Number : 907-243-5130
Provider Enumeration Date : 07/18/2006
Last Update Date : 01/09/2009

Similar Medicare Providers

1407990369 — DR. ANNA MARIE BAUGHMAN PSY.D.
Practice Location Address:
2825 W 42ND AVE
ANCHORAGE, AK
99517-2830
Practice Phone: 907-243-5130
Practice Fax:
1295865491 — DEBORRA L FIELDS LPC
Practice Location Address:
2825 W 42ND AVE
ANCHORAGE, AK
99517-2830
Practice Phone: 907-232-0829
Practice Fax: 907-248-8350
1629268131 — DEBORRA FIELDS M.S. LPC.
Practice Location Address:
2825 W 42ND AVE
ANCHORAGE, AK
99517-2830
Practice Phone: 907-243-5130
Practice Fax: 907-248-8350
1376903518 — ANTHONY LONGVAL JR.
Practice Location Address:
2825 W 42ND AVE
ANCHORAGE, AK
99517-2830
Practice Phone: 907-243-5130
Practice Fax: 907-248-8350
1871953968 — GENESIS RECOVERY SERVICES, INC.
Practice Location Address:
2825 W 42ND AVE
ANCHORAGE, AK
99517-2830
Practice Phone: 907-243-5130
Practice Fax:
1063073419 — LOUISE DIANE SHAVINGS MSW
Practice Location Address:
2825 W 42ND AVE
ANCHORAGE, AK
99517-2830
Practice Phone: 907-243-5130
Practice Fax: 907-248-8350

Directions to “GENESIS RECOVERY SERVICES, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.