| NPI | 1538110218 |
|---|---|
| Doing Business As | GENESIS CONVENIENT CARE |
| Entity Type | Organization |
| Authorized Contact | MARK G ROGERS Vice President Of Finance 563-421-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2012-03-01 |