NPI 1346855848

Genesis at Home LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Gilbert, AZ

Practice location

Address: 1027 W Calypso CT, Gilbert, AZ 85233-6769
Phone: (651) 246-7242

Authorised official

Name: Anthony Aghenta
Title: President
Phone: (651) 246-7242

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1346855848
Entity type: Organization
NPI issued: 11 Sep 2020
Record last updated: 11 Sep 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.