# GENERATIONAL HEALTH CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Young House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295445070
- **Authorized official:** MRS. CHRISTA RENE YOUNG RN (PROVIDER)
- **Authorized official phone:** (360) 910-8919

## Contact information

- **Practice address:** 8717 FOREST AVE SW, LAKEWOOD, WA 98498-3515
- **Practice address phone:** (360) 910-8919
- **Practice address fax:** (253) 507-8773
- **Mailing address:** 8717 FOREST AVE SW, LAKEWOOD, WA 98498-3515
- **Mailing address phone:** (360) 910-8919
- **Mailing address fax:** (253) 507-8773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2022
- **Last updated:** 12/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 755773 | — | WA |