NPI 1215233580

Genesis Life, LLC

Organisation Developmentally Disabled Services Day Training Agency West Plains, MO

Practice location

Address: 406 Winchester Street, West Plains, MO 65775
Phone: (417) 270-0032
Mailing address: PO Box 528, West Plains, MO 65775-0528

Authorised official

Name: Charles Swift
Title: Owner/Administrator
Phone: (417) 270-0032

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Missouri →

Registry record

NPI: 1215233580
Entity type: Organization
NPI issued: 4 Feb 2011
Record last updated: 4 Feb 2011

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.