GENOA HEALTHCARE LLC NPI 1285034876

NPI Information

GENOA HEALTHCARE, LLC is a long term care pharmacy pharmacy in Decatur, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GENOA HEALTHCARE, LLC NPI is 1285034876. The provider is registered as an organization entity type.

The provider's business location address is:

445 WINN WAY
RM 220
DECATUR, GA
ZIP 30030-707
Phone: (404) 594-8492
Fax: (404) 499-9927

The provider's authorized official is Joseph Douglas .
The authorized official title is Ceo and has the following contact phone number (815) 404-4871.

The enumeration date for this NPI number is 9/2/2014 and was last updated on 11/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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