GENESIS ELDERCARE PHYSICIAN SERVICES LLC

LOUISVILLE, KY
NPI1033535828
Entity TypeOrganization
Authorized ContactERIC SHAPIRO
Vice President
410-832-7790
Organization Subpart ?Yes
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: KY  0858289.09)
Enumeration Date2014-03-17
Last Update Date2019-08-05
Business Address
GENESIS ELDERCARE PHYSICIAN SERVICES LLC
16605 CHESTNUT GLEN PL
LOUISVILLE, KY 40245
Phone number: 410-543-1957
Mailing Address
GENESIS ELDERCARE PHYSICIAN SERVICES LLC
PO BOX 62946
BALTIMORE, MD 21264-2946
Phone number: 410-494-7607