# GENERATIONS CHILD & MEMORY CARE LLC

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

## Provider details

- **NPI number:** 1528728268
- **Authorized official:** KRISTIN GUNSOLUS (AUTHORIZED AGENT)
- **Authorized official phone:** (507) 720-2461

## Contact information

- **Practice address:** 3631 HOFFMAN RD, MANKATO, MN 56001-5816
- **Practice address phone:** (507) 720-0644
- **Mailing address:** 3631 HOFFMAN RD, MANKATO, MN 56001-5816
- **Mailing address phone:** (507) 720-0644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | — |

## Other

- **Enumeration date:** 12/22/2021
- **Last updated:** 12/22/2021
