| Organization Name: | GENERATIONS LONG TERM CARE INC |
| NPI Number: | 1073970463 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAWN LANGSTON (PRACTICE MANAGER) |
| Mailing Address: | 270 Burley Ave Hopkinsville |
| State: | KY US |
| Postal Code: | 422408725 |
| Phone Number: | 2708876767 |
| Fax Number: | 2708878344 |
| NPI Enumeration Date: | 01/15/2016 |
| NPI Last Update Date: | 01/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 3006456 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |