Organization
GENESIS MILESTONES INC
Active
Organization
GENESIS MILESTONES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENESIS MORENO (OWNER / PRESIDENT)
(239) 771-0583
Entity
Organization
Contact information
Practice address
133 SE 29TH TER, CAPE CORAL, FL 33904-3424
(239) 771-0583
Mailing address
133 SE 29TH TER, CAPE CORAL, FL 33904-3424
(239) 771-0583
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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