Genesis43 LLC

NPI #1285965004 in Saint Clair Shores, Michigan

Provider Information

NPI Number: 1285965004
Entity Type: Organization
Organization Name: Genesis43 LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Jan 18, 2010
Last Updated: Jul 21, 2022

Practice Location

Address: 22811 GREATER MACK AVE
City: Saint Clair Shores
State: Michigan
ZIP Code: 48080-2021
Phone: (586) 552-4300

Authorized Official

Name: MR. SEGUNDO I BALDOVINO
Title: OWNER/OPERATOR
Phone: (586) 552-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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