Genesis Corporation

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1023004561

Genesis Corporation is an Intellectual Disabilities Intermediate Care Facility in San Lorenzo, California. Licensed in California. Registered with an NPI since 2005.

Licensed in: CA
In the registry since: 2005

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Practice location Address checks out

17096 Via Flores
San Lorenzo, CA 94580-2915
Phone: (510) 276-8442
Fax: (510) 276-7802

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary)	Taxonomy 315P00000X (CA)

Record details

NPI number	1023004561
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Pamela Graham — Controller · (805) 489-9472
Other names	Genesis Developmental Services
NPI enumerated	September 20, 2005
Last updated in NPPES	August 22, 2020
Mailing address	Po Box 626, Pismo Beach, CA 93448-0626