Organization
GENOA HEALTHCARE LLC
Active
Other names
Genoa Healthcare of Minnesota LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BOHMER (SECRETARY)
(224) 231-1833
Entity
Organization
Contact information
Practice address
1155 FORD RD STE C, ST LOUIS PARK, MN 55426
(612) 284-2197
(612) 808-6759
Mailing address
707 S GRADY WAY STE 400, RENTON, WA 98057-3246
(253) 218-0830
(253) 735-4741
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/11/2011
Last updated
12/24/2024
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