# GENESIS II ME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134476617
- **Authorized official:** RENEA COLEMAN JACKSON (OWER DIRECTOR)
- **Authorized official phone:** (281) 687-2173

## Contact information

- **Practice address:** 12035 MISTY VALLEY DR, HOUSTON, TX 77066-2736
- **Practice address phone:** (281) 687-2173
- **Practice address fax:** (281) 580-4962
- **Mailing address:** 12035 MISTY VALLEY DR, HOUSTON, TX 77066-2736
- **Mailing address phone:** (281) 687-2173
- **Mailing address fax:** (281) 580-4962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2012
- **Last updated:** 08/14/2012