# GENESIS HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1750120903
- **Authorized official:** LULU JOHNSON (OWNER)
- **Authorized official phone:** (832) 546-9645

## Contact information

- **Practice address:** 9630 BIRSAY ST, SPRING, TX 77379-4336
- **Practice address phone:** (346) 669-0869
- **Mailing address:** 9915 CYPRESS CREEK PKWY APT 304, HOUSTON, TX 77070-6052
- **Mailing address phone:** (346) 669-0869

## Taxonomy

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

## Other

- **Enumeration date:** 05/20/2024
- **Last updated:** 05/20/2024
