Organization
GENESIS TOTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMARIE BOGGS (OWNER)
(757) 761-9190
Entity
Organization
Contact information
Practice address
223 E CITY HALL AVE STE 323, NORFOLK, VA 23510-1713
(757) 761-9190
(757) 765-7065
Mailing address
223 E CITY HALL AVE STE 323, NORFOLK, VA 23510-1713
(757) 761-9190
(757) 765-7065
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
12/08/2025
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