Genesis Support Solution LLC
NPI #1205651700 in Windham, Maine
Provider Information
- NPI Number
- 1205651700
- Entity Type
- Organization
- Organization Name
- Genesis Support Solution LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 19, 2024
- Last Updated
- Nov 19, 2024
Practice Location
Authorized Official
- Name
- BRANDY KIBAMBA
- Title
- MANAGING MEMBER
- Phone
- (804) 665-8185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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