| Organization Name: | GENESIS DME, LLC |
| NPI Number: | 1285865410 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RYAN HODGE (MEMBER) |
| Mailing Address: | 121 Main St W Oak Hill |
| State: | WV US |
| Postal Code: | 259012943 |
| Phone Number: | 8662114817 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2009 |
| NPI Last Update Date: | 08/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |