GENESIS & VENUS INC
Adult Care Home
Cleveland, Ohio
Provider NPI: 1467671750
Organization Information:Organization Name: GENESIS & VENUS INC
Practice Location:
3104 AUDUBON BLVD CLEVELAND, OH 44104 US
Tel: 216-295-0841 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3104 AUDUBON BLVD CLEVELAND, OH 44104 US
Tel: 216-295-0841 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2670837 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin