OrganizationActive
Genesis Services, Inc.
NPI 1164528386 · Developmentally Disabled Services Day Training Agency · Salt Lake City, UT
Provider details
- NPI number
- 1164528386
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Authorized official
- Dustine Mccormack, President
- License
- 001 (UT)
Practice location
2420 S 1300 E
Salt Lake City, UT 84106-3130
Phone: (188) 833-2020
Fax: (801) 274-1543
Mailing address
Po Box 9316
Salt Lake City, UT 84109-0316
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.