NPI 1336273945

Genesis

Organisation Physical Disabilities Residential Treatment Facility Mount Airy, NC

Practice location

Address: 2206 Ridge Crest Ln, Mount Airy, NC 27030-2483
Phone: (336) 786-9132
Mailing address: 419 Spring St, Mount Airy, NC 27030-4635

Authorised official

Name: Marvin B Kaye
Title: Physical Therapist
Phone: (336) 789-5542

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 4768 (NC)

Other Residential Treatment Facility, Physical Disabilities providers in North Carolina →

Registry record

NPI: 1336273945
Entity type: Organization
NPI issued: 15 Mar 2007
Record last updated: 22 Aug 2020

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.