Organization
GENESIS WELLNESS SUPPORT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YISCEL MARIA M PASCUAL BERMUDEZ CBHCMS (OWNER)
(786) 740-0516
Entity
Organization
Contact information
Practice address
10700 CARIBBEAN BLVD STE 214, CUTLER BAY, FL 33189-1233
(786) 207-1151
(786) 221-2834
Mailing address
9333 SW 227TH ST UNIT 1, CUTLER BAY, FL 33190-1947
(786) 740-0516
(786) 221-2834
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
07/05/2025
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