GENOA HEALTHCARE LLC NPI 1811414972

NPI Information

GENOA HEALTHCARE, LLC is a long term care pharmacy pharmacy in El Dorado, AR. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GENOA HEALTHCARE, LLC NPI is 1811414972. The provider is registered as an organization entity type.
The provider Is Doing Business As Genoa Healthcare.

The provider's business location address is:

715 N COLLEGE AVE STE P1
EL DORADO, AR
ZIP 71730-403
Phone: (870) 639-6227
Fax: (870) 639-6058

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 8/29/2017 and was last updated on 11/8/2021.

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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