Genesis and Light Center
Genesis and Light Center is a Voluntary or Charitable Agency in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.
- Licensed in
- MS
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
4914 N State StJackson, MS 39206-4046
Phone: (601) 362-6736
Fax: (601) 362-6737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Day Care Clinic/Center (primary) | Taxonomy 261QA0600X |
|---|---|
| Voluntary or Charitable Agency | Taxonomy 251V00000X · Licence 25C4PAS-5598 (MS) |
Record details
| NPI number | 1457768814 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Albert Wilson — Executive Director · (601) 362-6736 |
| NPI enumerated | July 17, 2014 |
| Last updated in NPPES | March 17, 2023 |
| Certification date | March 17, 2023 |
| Mailing address | 4914 N State St, Jackson, MS 39206-4046 |
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