Provider Demographics
NPI:1922756337
Name:GENESIS UNLIMITED RESOURCES II LLC
Entity Type:Organization
Organization Name:GENESIS UNLIMITED RESOURCES II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:MCELVEEN
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-957-0887
Mailing Address - Street 1:2028 BECK ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-3506
Mailing Address - Country:US
Mailing Address - Phone:504-957-0887
Mailing Address - Fax:
Practice Address - Street 1:2028 BECK ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-3506
Practice Address - Country:US
Practice Address - Phone:504-957-0887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care