OrganizationActive
Genesis LLC
NPI 1174380463 · Case Manager/Care Coordinator · Minneapolis, MN
Provider details
- NPI number
- 1174380463
- Entity type
- Organization
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Authorized official
- Wilma King, President
Practice location
1007 W Broadway Ave
Minneapolis, MN 55411-2503
Phone: (952) 221-9987
Fax: (612) 486-8694
Mailing address
2143 Albemarle Ct N
Roseville, MN 55113-6677
Registry dates
- Enumerated
- 2024-03-04
- Last updated
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.