Avancer
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Genoa, IL
NPI 1154450773 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154450773
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 01C008 (IL)
- Legal business name
- AVANCER
- Practice address
- 350 Sycamore Rd
Genoa, IL 60135-1361 - Phone
- (815) 784-5146
- Fax
- (815) 784-4673
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Desiree Alicia Henderson-Sawyer
- Title
- Executive Director
- Phone
- (815) 784-3712
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 01C008 | IL | Yes |
Addresses
Primary practice location
350 Sycamore Rd
Genoa, IL 60135-1361
Mailing address
350 Sycamore Rd
Genoa, IL 60135-1361
Other providers in Genoa, IL
- Michael Eugene Andrews
- Aureus Minds Psychiatry PLLC
- Avancer Homes, LLC
- Lori Beth Bankson
- Ben Gordon Center
- Allison Marie Brown
- Kristin Brust
All providers in Genoa, IL · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.