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1235397704
GENESIS ADULT CARE, LLC
SAINT LOUIS, MO
NPI
1235397704
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Entity Type
Organization
Authorized Contact
JUNE WALKER
Owner
314-989-1002
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
(Licence: MO 763)
Enumeration Date
2008-05-30
Last Update Date
2008-05-30
Business Address
GENESIS ADULT CARE, LLC
8405 OLIVE BLVD
SAINT LOUIS, MO 63132-2815
Phone number: 314-989-1002
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Mailing Address
GENESIS ADULT CARE, LLC
8405 OLIVE BLVD
SAINT LOUIS, MO 63132-2815
Phone number: 314-989-1002
Copy
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