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NPI Code Detail

MEDICARE: GENESIS HOME CARE AND THERAPY SERVICES

MEDICARE: GENESIS HOME CARE AND THERAPY SERVICES
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1376843441
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS HOME CARE AND THERAPY SERVICES
Provider Business Mailing Address
First Line : 2426 NETHERWOOD DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63136-5215
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2426 NETHERWOOD DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63136-5215
Country : US
Telephone Number : 314-495-8329
Fax Number :
Authorized Official
Title or Position : COTA/L, OWNER
Name : SHIMIKA STRINGFELLOW
Credential :
Telephone Number : 314-495-8329
Provider Enumeration Date : 10/23/2010
Last Update Date : 10/23/2010

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Directions to “GENESIS HOME CARE AND THERAPY SERVICES ” Practice Location

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