NPI 1538790753

Genesis Health and Longevity, INC.

Organisation Preferred Provider Organization Paragould, AR

Practice location

Address: 3501 Carriage Hill Dr STE B, Paragould, AR 72450-5329
Phone: (870) 236-2911
Fax: (870) 236-2912

Authorised official

Name: Jessica Megan Dewitt
Title: President/ Ceo
Phone: (870) 926-4738

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1538790753
Entity type: Organization
NPI issued: 27 Jan 2020
Record last updated: 27 Jan 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.