Provider Demographics
NPI:1790543411
Name:GENUINE CARE COORDINATION
Entity Type:Organization
Organization Name:GENUINE CARE COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-707-6046
Mailing Address - Street 1:193 N SHORTHORN PL
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-9532
Mailing Address - Country:US
Mailing Address - Phone:907-707-6046
Mailing Address - Fax:
Practice Address - Street 1:193 N SHORTHORN PL
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-9532
Practice Address - Country:US
Practice Address - Phone:907-707-6046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty