GENESIS REIGN SUPPORT SERVICES LLC

NORTH CHESTERFIELD, VA
NPI1477254894
Entity TypeOrganization
Authorized ContactDERRICK DWAIN JACK
Owner
804-926-3696
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2023-03-13
Last Update Date2023-10-11
Business Address
GENESIS REIGN SUPPORT SERVICES LLC
6406 BAREBACK TER
NORTH CHESTERFIELD, VA 23234-4195
Phone number: 804-926-3696
Mailing Address
GENESIS REIGN SUPPORT SERVICES LLC
6406 BAREBACK TER
NORTH CHESTERFIELD, VA 23234-4195
Phone number: 804-926-3696
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