OrganizationActive
Genesis
NPI 1629336359 · Nursing Facility/Intermediate Care Facility · Milton, FL
Provider details
- NPI number
- 1629336359
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Donna Cavener, Respiratory Therapist(850) 776-8448
- License
- TT3185 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
5214 Goshawk Dr
Milton, FL 32570-5020
Phone: (850) 776-8448
Approximate (ZIP-level) locationGet directions
Mailing address
5214 Goshawk Dr
Milton, FL 32570-5020
Registry dates
- Enumerated
- 2012-05-01
- Last updated
- 2012-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.