# GENESIS TCM CORP

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

## Provider details

- **NPI number:** 1265875108
- **Authorized official:** MR. HUMBERTO J. SANTIAGO (PRESIDENT)
- **Authorized official phone:** (407) 350-7911

## Contact information

- **Practice address:** 3700 34TH ST, SUITE 200, ORLANDO, FL 32805-6601
- **Practice address phone:** (407) 350-7911
- **Mailing address:** 3700 34TH ST, SUITE 200, ORLANDO, FL 32805-6601
- **Mailing address phone:** (407) 350-7911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2013
- **Last updated:** 11/26/2013