Organization
GENERATION HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATESHA KING (CEO)
(909) 322-7864
Entity
Organization
Contact information
Practice address
1264 S WATERMAN AVE STE 35, SAN BERNARDINO, CA 92408-2849
(909) 322-7864
(909) 614-7371
Mailing address
1264 S WATERMAN AVE STE 35, SAN BERNARDINO, CA 92408-2849
(909) 322-7864
(909) 614-7371
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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