GENOA HEALTHCARE, LLC
22170 W 9 Mile Rd
Southfield, MI 48033
248-799-8125
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 3336C0003X | Suppliers - Pharmacy | ||
Y | 3336L0003X | Suppliers - Pharmacy | MI | 5301007857 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1811937568 | MI | MEDICAID | |
PK | 2167543 | OTHER |