# GENERATIONS PROFESSIONAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184131690
- **Authorized official:** MR. JOHN ERIC MELTON (MEMBER/CEO)
- **Authorized official phone:** (205) 540-1851

## Contact information

- **Practice address:** 1050 CONVALESCENT RD, VERNON, AL 35592-4823
- **Practice address phone:** (205) 695-9313
- **Mailing address:** PO BOX 362105, HOOVER, AL 35236-2105
- **Mailing address phone:** (205) 540-1851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | F09170932 | AL | Yes |

## Other

- **Enumeration date:** 01/05/2018
- **Last updated:** 03/17/2018