# GENESIS NEW BEGINNINGS L.L.C.

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

## Provider details

- **NPI number:** 1346957115
- **Authorized official:** CHERYL RENEE JACKSON (MANAGING MEMBER)
- **Authorized official phone:** (216) 789-9116

## Contact information

- **Practice address:** 12713 W DESERT ROSE RD, AVONDALE, AZ 85392-7007
- **Practice address phone:** (216) 789-9116
- **Mailing address:** 12713 W DESERT ROSE RD, AVONDALE, AZ 85392-7007
- **Mailing address phone:** (216) 789-9116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2022
- **Last updated:** 11/01/2022