Organization Name: | GENERATIONAL HOSPICE INC |
NPI Number: | 1659556520 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLORIA BARNES (ADMINSTRATOR) |
Mailing Address: | 696 Mount Zion Rd Suite 3-b Jonesboro |
State: | GA US |
Postal Code: | 302361597 |
Phone Number: | 4046106264 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2008 |
NPI Last Update Date: | 01/09/2008 |
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: |