Organization · Type 2 NPI
Genesis Corporation
Intellectual Disabilities Intermediate Care Facility · Goleta, CA
NPI number
1891781324
Active
Practice location
264 Salisbury Ave
Goleta, CA 93117-1011
Fax (805) 685-0863
Mailing address
PO Box 626
Pismo Beach, CA 93448-0626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1891781324
Genesis Corporation's National Provider Identifier is 1891781324, issued on Sep 20, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Goleta, CA. The record was last updated on Aug 22, 2020.