Organization
GENESIS CASE MANAGEMENT SERVICES, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINE TONY ROUSE BSW, RN, BSN (OWNER/CEO)
(954) 695-1258
Entity
Organization
Contact information
Practice address
540 NW 165TH STREET RD, SUITE 110, MIAMI, FL 33169-6304
(786) 953-4612
(786) 953-8534
Mailing address
540 NW 165TH STREET RD, SUITE 110, MIAMI, FL 33169-6304
(786) 953-4612
(786) 953-8534
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
03/06/2017
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