| Genesis House, Inc | |
|
121 Locust Street 2nd/3rd Floor Harrisburg PA 17101 | |
| (570) 322-0520 | |
| (570) 326-9674 |
| Full Name | Genesis House, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 121 Locust Street, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Shakeena Bernique Lee (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5703220520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis House, Inc 800 West 4th St. Ste G-01 Williamsport PA 17701-7201 Ph: (570) 322-0520 | Genesis House, Inc 121 Locust Street 2nd/3rd Floor Harrisburg PA 17101 Ph: (570) 322-0520 |
| NPI Number | 1609976661 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 10/27/2025 |
| Certification Date | 10/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609976661 | NPI | - | NPPES |
| 1007283800004 | Medicaid | PA |
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