Provider Demographics
NPI:1932832441
Name:GENNEA HEALTHCARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:GENNEA HEALTHCARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOQUETTA
Authorized Official - Middle Name:G
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-391-8225
Mailing Address - Street 1:7801 SAINT ANDREWS RD STE A2
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2866
Mailing Address - Country:US
Mailing Address - Phone:803-391-8225
Mailing Address - Fax:
Practice Address - Street 1:7801 SAINT ANDREWS RD STE A2
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2866
Practice Address - Country:US
Practice Address - Phone:803-878-1298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-03
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care