Whalio Doctors

NPI 1942327283

Genesis Development

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Jefferson, IA

Practice location

Address
401 W McKinley St, Jefferson, IA 50129-1421
Phone
(515) 386-3017
Fax
(515) 386-4642
Mailing address
PO Box 438, Jefferson, IA 50129-0438

Authorised official

Name
Terry L Johnson
Title
Ceo
Phone
(515) 386-3017

Registered specialties (8)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X
Assisted Living Facility (Mental Illness)
Nursing & Custodial Care Facilities Taxonomy 3104A0625X
Assisted Living Facility (Behavioral Disturbances)
Nursing & Custodial Care Facilities Taxonomy 3104A0630X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1942327283
Entity type
Organization
NPI issued
23 Mar 2007
Record last updated
5 May 2010

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.