| Genesis Healthcare | |
|
925 South St Portsmouth VA 23704-4125 | |
| (919) 724-1520 | |
| Not Available |
| Full Name | Genesis Healthcare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 925 South St, Portsmouth, Virginia |
| Authorized Official Name and Position | Tasha Richardson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9197241520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Healthcare 925 South St Portsmouth VA 23704-4125 Ph: (919) 724-1520 | Genesis Healthcare 925 South St Portsmouth VA 23704-4125 Ph: (919) 724-1520 |
| NPI Number | 1124250444 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 08/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124250444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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