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GENOA HEALTHCARE, LLC

Medical Equipment Supplier Yellow Pages

Valparaiso, Indiana

Provider NPI: 1518143445

Organization Information:
Organization Name:  GENOA HEALTHCARE, LLC


Practice Location:
601 WALL ST  VALPARAISO, IN 46383 US
Tel: 219-462-1603  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336L0003XSuppliers
Pharmacy
Long Term Care Pharmacy
IN60006470A

Other Provider Identifiers:

IssuerNumberStateType
PK202571601
200883920IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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