Organization · Type 2 NPI

Genesis Corporation

Intellectual Disabilities Intermediate Care Facility · Hayward, CA

NPI number 1679569115 Active

Practice location

3336 Bridle Dr
Hayward, CA 94541-5706

Call (510) 582-2873 Map

Fax (510) 582-4463

Mailing address

PO Box 626
Pismo Beach, CA 93448-0626

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1679569115

Genesis Corporation's National Provider Identifier is 1679569115, issued on Sep 20, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Hayward, CA. The record was last updated on Aug 22, 2020.