Provider Demographics
NPI:1427882950
Name:GENY PULSE CARE LLC
Entity type:Organization
Organization Name:GENY PULSE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:FOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-381-7457
Mailing Address - Street 1:1775 I ST NW STE 1150
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-2435
Mailing Address - Country:US
Mailing Address - Phone:240-381-7457
Mailing Address - Fax:
Practice Address - Street 1:1775 I ST NW STE 1150
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-2435
Practice Address - Country:US
Practice Address - Phone:240-381-7457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities