- Agency Name
- JENESIS LIVING LLC
- Service Type
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Address
- 3403 AMANDA CT NW, CEDAR RAPIDS, IA 52405
- Phone Number
- (269) 999-0321
- NPI Number
- 1285521922
- Authorized Official
- JACKLINE MMBAGA (MANAGING MEMBER)
- Enumeration Date
- 2025-06-23