# GREATEST GENERATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Shannon Gray Rehabilitation & Recovery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669613071
- **Authorized official:** MR. RICHARD GRAY BENNETT LNHA (PRESIDENT)
- **Authorized official phone:** (336) 253-6491

## Contact information

- **Practice address:** 2005 SHANNON GRAY CT, JAMESTOWN, NC 27282-9183
- **Practice address phone:** (336) 307-4729
- **Practice address fax:** (336) 307-4961
- **Mailing address:** 116 LANE DR, TRINITY, NC 27370-9343
- **Mailing address phone:** (336) 431-8888
- **Mailing address fax:** (336) 431-9064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2009
- **Last updated:** 12/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405552 | — | NC |
