Provider Demographics
NPI:1699836759
Name:DRM GENESIS HOME HEALTHCARE PROVIDERS
Entity Type:Organization
Organization Name:DRM GENESIS HOME HEALTHCARE PROVIDERS
Other - Org Name:DRM PRIVATE HOME HEALTHCARE PROVIDERS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:LONZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-882-3544
Mailing Address - Street 1:PO BOX 25036
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48909-5036
Mailing Address - Country:US
Mailing Address - Phone:517-882-3544
Mailing Address - Fax:517-882-3525
Practice Address - Street 1:3204 S. PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-4733
Practice Address - Country:US
Practice Address - Phone:517-882-3544
Practice Address - Fax:517-882-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health