Organization
GENERATIONS OF VERNON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ERIC MELTON (MEMBER/CFO)
(205) 545-8444
Entity
Organization
Contact information
Practice address
1050 CONVALESCENT RD, VERNON, AL 35592-4823
(205) 695-9313
(205) 695-9820
Mailing address
1050 CONVALESCENT RD, VERNON, AL 35592-4823
(205) 695-9313
(205) 695-9820
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
09682
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4752280S
—
AL
01
—
510-09170
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/30/2005
Last updated
04/24/2014
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