Organization Name: | GENOA A QOL HEALTHCARE COMPANY LLC |
NPI Number: | 1568828945 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RYAN NIEMEYER (CONTROLLER) |
Mailing Address: | 1444 5th Ave Ste 1 Bay Shore |
State: | NY US |
Postal Code: | 117064147 |
Phone Number: | 6319542060 |
Fax Number: | 6316652026 |
NPI Enumeration Date: | 01/14/2016 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |