| NPI | 1447836820 |
|---|---|
| Former Legal Business Name | GENESISXXIV, LLC |
| Entity Type | Organization |
| Authorized Contact | DIANA ASKEW CEO 724-512-5438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |