| NPI | 1124454947 |
|---|---|
| Doing Business As | GENESIS HEALTH GROUP DAVENPORT CLINIC HEALTH HOME |
| Entity Type | Organization |
| Authorized Contact | MARK G. ROGERS VP Of Finance 563-421-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |