Organization
GENERATIONS HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON MCCANLESS (PRESIDENT)
(615) 216-0405
Entity
Organization
Contact information
Practice address
720 S CHURCH ST, SUITE B, MURFREESBORO, TN 37130-4926
(615) 216-0405
(615) 216-0432
Mailing address
720 S CHURCH ST, SUITE B, MURFREESBORO, TN 37130-4926
(615) 216-0405
(615) 216-0432
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000004996
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000000004996
STATE OF TN LICENSE NUMBER
TN
Enumeration date
03/28/2010
Last updated
03/28/2010
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