| Genesis House, Inc | |
|
759 Thunder Rd Spindale NC 28160-1160 | |
| (828) 288-8801 | |
| (828) 288-8803 |
| Full Name | Genesis House, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 759 Thunder Rd, Spindale, North Carolina |
| Authorized Official Name and Position | Kelvin Hall (PRESIDENT/CEO) |
| Authorized Official Contact | 7048523778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis House, Inc 1528 Union Rd Gastonia NC 28054-2200 Ph: (704) 852-3778 | Genesis House, Inc 759 Thunder Rd Spindale NC 28160-1160 Ph: (828) 288-8801 |
| NPI Number | 1932343019 |
|---|---|
| Provider Enumeration Date | 04/21/2009 |
| Last Update Date | 04/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932343019 | NPI | - | NPPES |
| 8302550B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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