NPI 1285965004

Genesis43 LLC

Organisation In Home Supportive Care Agency Saint Clair Shores, MI

Practice location

Address: 22811 Greater Mack Ave, Saint Clair Shores, MI 48080-2021
Phone: (586) 552-4300
Fax: (586) 552-4304

Authorised official

Name: Segundo I Baldovino
Title: Owner/Operator
Phone: (586) 552-4300

Registered specialties

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

Other In Home Supportive Care providers in Michigan →

Registry record

NPI: 1285965004
Entity type: Organization
NPI issued: 18 Jan 2010
Record last updated: 21 Jul 2022

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.