Genesis LLC
NPI #1174380463 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1174380463
- Entity Type
- Organization
- Organization Name
- Genesis LLC
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 4, 2024
- Last Updated
- Mar 4, 2024
Practice Location
- Address
- 1007 W BROADWAY AVE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55411-2503
- Phone
- (952) 221-9987
Authorized Official
- Name
- WILMA DENISE KING
- Title
- PRESIDENT
- Phone
- (612) 408-9084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Health & Wellness Coach |
| Community Health Worker |
| Case Manager/Care Coordinator |
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