GENESIS HOUSE, INC.
Residential Treatment Facilities at Warren Ave, Vallejo, CA

License number
California 480005AN
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: MR. LLOYD WAYNE GIEG JD
Title: EXECUTIVE DIRECTOR
Phone: (707) 552-5295
Address
Address
1149 Warren Ave, Vallejo, CA 94591
National Provider ID: 1831265495
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GENESIS HOUSE, INC

1149 Warren Ave, Vallejo, CA 94591

Industry:
Specialty Hospital
Doing business as:
Genesis House<br>Genesis House Drug Abuse Rehab
Registration:
Jun 13, 1972
Phone:
(707) 552-5295 (Fax), (707) 557-3165 (Phone)
State ID:
C0653455
Business type:
Articles of Incorporation
Presidents:
Joel Ryan (President),Dennis James York President, inactive,Lloyd Wayne Gieg President, inactive
Agent:
Kester Mcdonald,Vallejo, CA 94591 (Physical)

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