| NPI | 1205860400 |
|---|---|
| Doing Business As | GENESIS CONVENIENT CARE DAVENPORT |
| Entity Type | Organization |
| Authorized Contact | MARK G ROGERS VP Of Finance 563-421-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-07-21 |