MEDICARE: GENICE R MANNNIG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	385H00000X	Respite Care

General Provider Information

NPI Number	:	1306778279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENICE R MANNNIG

Provider Business Mailing Address
First Line	:	1083 E 68TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-1728
Country	:	US
Telephone Number	:	216-409-1458
Fax Number	:

Provider Business Practice Location Address
First Line	:	1083 E 68TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-1728
Country	:	US
Telephone Number	:	216-409-1458
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ GENICE R MANNNIG ” Practice Location

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