Genesis Corporation
Genesis Corporation is an Intellectual Disabilities Intermediate Care Facility in San Leandro, California. Licensed in California. Registered with an NPI since 2005.
- Licensed in
- CA
- In the registry since
- 2005
Practice location Address checks out
2225 Barrow StSan Leandro, CA 94577-3217
Phone: (510) 352-8537
Fax: (510) 352-8241
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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 | 1942296488 |
|---|---|
| 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 |
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