Genesis Dtc, Llc

LBN: Genesis Dtc, Llc
Genesis Dtc, Llc is an health care organization with primary practice located at 350 Sycamore Rd , Genoa IL 60135-1361. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Genesis Dtc, Llc can be contacted via phone (815) 784-5146, or through Johnson, Desiree A via phone (815) 784-5146.

Contact Information

Primary practice address
350 Sycamore Rd Genoa IL 60135-1361
Phone: (815) 784-5146
Fax: (815) 784-4673
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Desiree A
Phone: (815) 784-5146

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1942686258
LBN Legal business name Genesis Dtc, Llc
DBA Doing business as
Authorized official Johnson, Desiree A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2015
Last updated Aug 10th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers