Organization
GENERATIONS PSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH DENISE LEVELS (OWNER)
(219) 290-9182
Entity
Organization
Contact information
Practice address
1412 W 74TH AVE, MERRILLVILLE, IN 46410-4625
(219) 290-9182
Mailing address
1412 W 74TH AVE, MERRILLVILLE, IN 46410-4625
(219) 290-9182
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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