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Genesis Enterprises Inc
Intellectual Disabilities Intermediate Care Facility in Genoa, Illinois
NPI 1871631283

Genesis Enterprises Inc is a Intellectual Disabilities Intermediate Care Facility based in Genoa, IL. Genesis Enterprises Inc practices in Genoa, IL. The NPI Number for Genesis Enterprises Inc is 1871631283 and holds a License No. 0031906 (Illinois).

The current practice location address for Genesis Enterprises Inc is 350 Sycamore Rd, Genoa, IL and can be reached out via phone at 815-784-5146 and via fax at 815-784-2594.

Location: 350 Sycamore Rd, Genoa, IL, 60135-1361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871631283
Provider Name
Genesis Enterprises Inc
Credential
Provider Entity Type
Organization
Address
350 Sycamore Rd, Genoa, IL, 60135-1361
Phone Number
815-784-5146
Fax Number
815-784-2594
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
350 Sycamore Rd
City
Genoa
State
Illinois
Zip
60135-1361
Phone Number
815-784-5146
Fax Number
815-784-2594
person
Provider Business Mailing Address Details
Address
350 Sycamore Rd
City
Genoa
State
Illinois
Zip
60135-1361
Phone Number
815-784-5146
Fax Number
815-784-2594
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0031906 (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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