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Genoa Healthcare LLC

Details

Name: Genoa Healthcare LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 15 Jul 2009 (15 years ago) (Companies founded in July 2009)
Entity Number: 000-333-836
Register Number: 000333836
Historical Names: Genoa, a QoL Healthcare Company, LLC
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Pennsylvania
Principal Address: 707 S GRADY WAY STE 700RENTON, WA 98057
Registered Office Street Address: 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386024560 2015-06-03 2024-01-17 707 S GRADY WAY STE 400, RENTON, WA, 980573246, US 134 PREVATT RD, DOTHAN, AL, 363015427, US

Contacts

Phone +1 253-218-0830
Fax 2532174306
Phone +1 334-699-3858
Fax 3346993868

Authorized person

Name KAREN BOHMER
Role SECRETARY
Phone 2242311833

Taxonomy

Taxonomy Code 3336L0003X - Long Term Care Pharmacy
License Number 113591
State AL
Is Primary Yes

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Events

Event Date Event Type Old Value New Value
2017-12-19 Name Change Genoa, a QoL Healthcare Company, LLC Genoa Healthcare LLC

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State