Organization
NEW GENESIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWOLE JOLAOSO PRESIDENT/CEO (EXECUTIVE DIRECTOR)
(720) 339-3542
Entity
Organization
Contact information
Practice address
21352 E 50TH PL, DENVER, CO 80249-8237
(720) 339-3542
Mailing address
21352 E 50TH PL, DENVER, CO 80249-8237
(720) 339-3542
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
CO
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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