Genoa Healthcare Of South Dakota, Llc

NPI 1487612958 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1487612958
Enumeration Date 05/03/2006
Last Updated 03/22/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RYAN RYAN
Position CONTROLLER
Phone (605) 882-9400
Fax (605) 882-9405
Practice Location
123 19TH ST NE
WATERTOWN SD, 57201-2823, US
Phone (605) 882-9400
Fax (605) 882-9405
Business Location
PO BOX 77030
MINNEAPOLIS MN, 55480-7730, US
Phone (253) 218-0830
Fax (253) 217-4306
Toxanomy
Taxonomy Code 332B00000X
License State South Dakota
License Number 1001880
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According to our database, Genoa Healthcare Of South Dakota, Llc NPI is 1487612958, taxonomy code is 332B00000X and license number is 1001880, license state is located at South Dakota. Genoa Healthcare Of South Dakota, Llc physically located at 123 19th St Ne, Watertown SD, 57201-2823. NPI Number 1033115704 has the healthcare provider type.

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1487612958 NPI number is provided on an as is basis without warranty of any kind. 1487612958 is maintained by the National Plan & Provider Enumeration System. The contents of Genoa Healthcare Of South Dakota, Llc are for informational purposes only.