Organization
GENOA HEALTHCARE LLC
Active
Parent organization
GENOA HEALTHCARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENOA HEALTHCARE, LLC
Authorized official
KAREN BOHMER (SECRETARY)
(224) 231-1833
Entity
Organization
Contact information
Practice address
404 SPRING ST STE 242, JEFFERSONVILLE, IN 47130-3452
(812) 284-6418
(812) 962-9360
Mailing address
707 S GRADY WAY STE 400, RENTON, WA 98057-3246
(253) 218-0830
(253) 217-4306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
05/17/2024
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