NPI 1215262134
Genoa Healthcare LLC
Practice location
- Address
- 1900 Silver Lake Rd NW STE 111, New Brighton, MN 55112-1789
- Phone
- (651) 583-7097
- Fax
- (651) 636-4073
- Mailing address
- 707 S Grady Way STE 400, Renton, WA 98057-3246
Authorised official
- Name
- Karen Bohmer
- Title
- Secretary
- Phone
- (224) 231-1833
Registered specialties (3)
Long Term Care Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1215262134
- Entity type
- Organization
- NPI issued
- 9 Oct 2009
- Record last updated
- 24 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.