NPI 1285521922
Jenesis Living LLC
Practice location
- Address
- 3403 Amanda CT NW, Cedar Rapids, IA 52405-1961
- Phone
- (269) 999-0321
Authorised official
- Name
- Jackline Mmbaga
- Title
- Managing Member
- Phone
- (269) 285-3352
Registered specialties (2)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1285521922
- Entity type
- Organization
- NPI issued
- 23 Jun 2025
- Record last updated
- 24 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.