Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Nutrition, Education |
133NN1002X |
| NPI Number | 1336470616 |
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| LBN Legal business name | GENESIS HEALTH AND WELLNESS LLC | ||||||||
| Authorized official | SHAUN TYMCHAK - (DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/26/2010 | ||||||||
| Last updated | 08/30/2012 - About 14 years ago | ||||||||
| Identifiers |
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