Organization
GENERATIONS LONG TERM CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN LANGSTON CPC (PRACTICE MANAGER)
(270) 887-6767
Entity
Organization
Contact information
Practice address
270 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 887-6767
(270) 887-8344
Mailing address
270 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 887-6767
(270) 887-8344
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
39086
KY
363LA2200X
Adult Health Nurse Practitioner
3006456
KY
363LF0000X
Family Nurse Practitioner
3008299
KY
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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