# GENESIS CASE MANAGEMENT SERVICES, CORP.

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

## Provider details

- **NPI number:** 1588094767
- **Authorized official:** ANTOINE TONY ROUSE BSW, RN, BSN (OWNER/CEO)
- **Authorized official phone:** (954) 695-1258

## Contact information

- **Practice address:** 540 NW 165TH STREET RD, SUITE 110, MIAMI, FL 33169-6304
- **Practice address phone:** (786) 953-4612
- **Practice address fax:** (786) 953-8534
- **Mailing address:** 540 NW 165TH STREET RD, SUITE 110, MIAMI, FL 33169-6304
- **Mailing address phone:** (786) 953-4612
- **Mailing address fax:** (786) 953-8534

## Taxonomy

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

## Other

- **Enumeration date:** 11/25/2013
- **Last updated:** 03/06/2017