# GENESIS SUPPORT COORDINATION CO

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

## Provider details

- **NPI number:** 1275705030
- **Authorized official:** MS. MARISEL PINTADO BA (PRESIDENT)
- **Authorized official phone:** (305) 447-1200

## Contact information

- **Practice address:** 411 ALHAMBRA CIR, CORAL GABLES, FL 33134-4901
- **Practice address phone:** (305) 447-1200
- **Mailing address:** 411 ALHAMBRA CIR, CORAL GABLES, FL 33134-4901
- **Mailing address phone:** (305) 447-1200

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2008
- **Last updated:** 04/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 677959068 | — | FL |
| 05 | — | 677959096 | — | FL |
| 05 | — | 677959098 | — | FL |