GENESIS AND LIGHT CENTER NPI 1457768814

NPI Information

NPI: 1457768814
Provider Name: GENESIS AND LIGHT CENTER
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
4914 N STATE ST
JACKSON, MS
ZIP 39206
Phone: (601) 362-6736
Get Directions

GENESIS AND LIGHT CENTER is an adult day care clinic center in Jackson, MS. GENESIS AND LIGHT CENTER NPI is 1457768814. The provider is registered as an organization entity type.

The provider's business location address is:

4914 N STATE ST
JACKSON, MS
ZIP 39206-046
Phone: (601) 362-6736
Fax: (601) 362-6737

The provider's authorized official is Albert Wilson .
The authorized official title is Executive Director and has the following contact phone number (601) 362-6736.

The enumeration date for this NPI number is 7/17/2014 and was last updated on 3/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable		25C4PAS-5598	MISSISSIPPI	No
2	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »