Organization Name: | GENERATIONS HOSPICE CARE INC |
NPI Number: | 1457659252 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY JOHN SHERER (HOSPICE ADMINISTRATOR) |
Mailing Address: | 1010 Longview Rd Ste 101 Missouri Valley |
State: | IA US |
Postal Code: | 515551200 |
Phone Number: | 7126422264 |
Fax Number: | 7126422578 |
NPI Enumeration Date: | 03/03/2011 |
NPI Last Update Date: | 03/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |