Jenesis Living LLC
NPI #1285521922 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1285521922
- Entity Type
- Organization
- Organization Name
- Jenesis Living LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 23, 2025
- Last Updated
- Jun 23, 2025
Practice Location
- Address
- 3403 AMANDA CT NW
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52405-1961
- Phone
- (269) 999-0321
Authorized Official
- Name
- JACKLINE MMBAGA
- Title
- MANAGING MEMBER
- Phone
- (269) 285-3352
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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