Organization Name: | GENERATIONS FAMILY HEALTH CENTER INC |
NPI Number: | 1518122134 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARVIND SHAW (EXECUTIVE DIRECTOR) |
Mailing Address: | 54 Reynolds St Danielson |
State: | CT US |
Postal Code: | 062392917 |
Phone Number: | 8607747501 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2008 |
NPI Last Update Date: | 07/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 0404 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |