Organization
GENESIS CILA HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILOMENA ODIASE (CEO)
(708) 915-0920
Entity
Organization
Contact information
Practice address
441 S DANTE AVE, GLENWOOD, IL 60425-2045
(708) 915-0920
(708) 758-0695
Mailing address
441 S DANTE AVE, GLENWOOD, IL 60425-2045
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201500005C
IL
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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