OrganizationActive
Genesis Dtc, LLC
NPI 1942686258 · Developmentally Disabled Services Day Training Agency · Genoa, IL
Provider details
- NPI number
- 1942686258
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Desiree Johnson, Executive Director(815) 784-5146
Specialties & taxonomies
Agencies
Practice location
350 Sycamore Rd
Genoa, IL 60135-1361
Phone: (815) 784-5146
Fax: (815) 784-4673
Approximate (ZIP-level) locationGet directions
Mailing address
350 Sycamore Rd
Genoa, IL 60135-1361
Registry dates
- Enumerated
- 2015-08-10
- Last updated
- 2015-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.