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Organization
GENESIS SUPPORT SERVICES LLC
Active
Organization
GENESIS SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AURELIEN FOTO (MANAGER)
(202) 573-3282
Entity
Organization
Contact information
Practice address
10304 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20903-1413
(202) 573-3282
Mailing address
10304 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20903-1413
(202) 573-3282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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