# GENESIS IN-HOME CARE, LLC.

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

## Provider details

- **NPI number:** 1780087049
- **Authorized official:** MR. ROGER DUNCAN (OWNER)
- **Authorized official phone:** (540) 239-5474

## Contact information

- **Practice address:** 691 N SQUIRREL RD STE 255, AUBURN HILLS, MI 48326-2863
- **Practice address phone:** (248) 716-9071
- **Mailing address:** 691 N SQUIRREL RD STE 255, AUBURN HILLS, MI 48326-2863
- **Mailing address phone:** (248) 716-9071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2014
- **Last updated:** 09/01/2022
