# GENESIS43 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ComForcare Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285965004
- **Authorized official:** MR. SEGUNDO I BALDOVINO (OWNER/OPERATOR)
- **Authorized official phone:** (586) 552-4300

## Contact information

- **Practice address:** 22811 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2021
- **Practice address phone:** (586) 552-4300
- **Practice address fax:** (586) 552-4304
- **Mailing address:** 22811 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2021
- **Mailing address phone:** (586) 552-4300
- **Mailing address fax:** (586) 552-4304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | MI | Yes |

## Other

- **Enumeration date:** 01/18/2010
- **Last updated:** 07/21/2022