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NPI Code Detail

MEDICARE: GENESIS

MEDICARE: GENESIS
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
1313M00000XNursing Facility/Intermediate Care Facility

General Provider Information

NPI Number : 1467766683
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS
Provider Business Mailing Address
First Line : 2611A LYNDALE AVE
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-6010
Country : US
Telephone Number : 989-213-6519
Fax Number :
Provider Business Practice Location Address
First Line : 1222 NORTH DR
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-3200
Country : US
Telephone Number : 989-772-6027
Fax Number :
Authorized Official
Title or Position : PROGRAM MANAGER
Name : MRS. JENNIFER LYNN LINDOW
Credential : PTA,PM
Telephone Number : 989-772-2957
Provider Enumeration Date : 07/29/2010
Last Update Date : 07/29/2010

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Directions to “GENESIS ” Practice Location

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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.

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