Organization
BRENDA W. MAINES
Active
Other names
Generations Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA W MAINES (PRESIDENT)
(336) 372-1755
Entity
Organization
Contact information
Practice address
665 S MAIN ST STE 204, SPARTA, NC 28675-9618
(336) 372-1755
Mailing address
665 S MAIN ST STE 204, POST OFFICE BOX 638, SPARTA, NC 28675-9618
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1936
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409259
—
NC
05
—
6600728
—
NC
Enumeration date
01/15/2007
Last updated
11/03/2009
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