NPI 1144596263

Genesis Adult Care, LLC

Organisation Exclusive Provider Organization Saint Louis, MO

Practice location

Address: 8420 Olive Blvd, Saint Louis, MO 63132-2816
Phone: (314) 989-1002
Fax: (866) 891-1631

Authorised official

Name: June Walker
Title: Director
Phone: (314) 989-1002

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1007 (MO)

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Registry record

NPI: 1144596263
Entity type: Organization
NPI issued: 23 Mar 2012
Record last updated: 23 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.