Genext Life Llc

LBN: Genext Life Llc
Genext Life Llc is an health care organization with primary practice located at 113 Vaquaro Dr , Mooresville NC 28115-0236. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Genext Life Llc can be contacted via phone (980) 705-1190, or through Jackson, Ecaroh via phone (404) 642-4493.

Contact Information

Primary practice address
113 Vaquaro Dr Mooresville NC 28115-0236
Phone: (980) 705-1190
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Ecaroh
Phone: (404) 642-4493

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1295513299
LBN Legal business name Genext Life Llc
DBA Doing business as
Authorized official Jackson, Ecaroh
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2023
Last updated Jan 20th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers