Organization

Genesis Professional Corp

Legal Business Name

Genesis Professional Corp

NPI Number

1497755623

NPI Type

Organization

Enumeration Date

07/29/2005

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 790
800 FOREST AVE

City

Zanesville
Zanesville

State

OH
OH

Postal Code

43702-0790
43701-2882

Country

US
US

Telephone Number

(740) 454-0366
(740) 454-0366

Authorized Official

Name

Al Burns

Title or Position

PRESIDENT

Telephone Number

(740) 454-0366

Identifiers

Identifier

2467343

Identifier State

OH

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/15/2007

Provider Address