| Genesis Healthcare Systems Inc. | |
|
847 Stewart St Lafayette LA 70501-8539 | |
| (337) 237-4673 | |
| (337) 237-4674 |
| Full Name | Genesis Healthcare Systems Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 847 Stewart St, Lafayette, Louisiana |
| Authorized Official Name and Position | Will J Arledge (CFO) |
| Authorized Official Contact | 3372374673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Healthcare Systems Inc. 847 Stewart St Lafayette LA 70501-8539 Ph: (337) 237-4673 | Genesis Healthcare Systems Inc. 847 Stewart St Lafayette LA 70501-8539 Ph: (337) 237-4673 |
| NPI Number | 1700882628 |
|---|---|
| Provider Enumeration Date | 06/24/2005 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700882628 | NPI | - | NPPES |
| 1118605 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 1118605 (Louisiana) | Primary |
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