Genesis New Beginnings L.l.c.

NPI #1346957115 in Avondale, Arizona

Provider Information

NPI Number: 1346957115
Entity Type: Organization
Organization Name: Genesis New Beginnings L.l.c.
Primary Specialty: Home Health
Enumeration Date: Nov 1, 2022
Last Updated: Nov 1, 2022

Practice Location

Address: 12713 W DESERT ROSE RD
City: Avondale
State: Arizona
ZIP Code: 85392-7007
Phone: (216) 789-9116

Authorized Official

Name: CHERYL RENEE JACKSON
Title: MANAGING MEMBER
Phone: (216) 789-9116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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