Blue Genesis Holdings LLC

NPI #1679126445 in Dacula, Georgia

Provider Information

NPI Number
1679126445
Entity Type
Organization
Organization Name
Blue Genesis Holdings LLC
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Jul 22, 2019
Last Updated
Jul 22, 2019

Practice Location

Address
2013 WEATHERBY WAY CT
City
Dacula
State
Georgia
ZIP Code
30019-7769
Phone
(470) 435-9574

Authorized Official

Name
MAX WILTZ
Title
COO
Phone
(470) 435-9574

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Non-emergency Medical Transport (VAN)

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