Organization · Type 2 NPI
Genesis Development
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jefferson, IA
Practice location
401 W Mckinley St
Jefferson, IA 50129-1421
Fax (515) 386-4642
Mailing address
PO Box 438
Jefferson, IA 50129-0438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
2 other providers at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Jefferson
About NPI 1003887639
Genesis Development's National Provider Identifier is 1003887639, issued on Jan 31, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jefferson, IA. The record was last updated on May 5, 2010.