Organization
GENERATIONAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON LIVINGSTON (PRESIDENT)
(973) 518-9982
Entity
Organization
Contact information
Practice address
354 STATE ST STE 6, HACKENSACK, NJ 07601-5530
(973) 966-8630
Mailing address
354 STATE ST STE 6, HACKENSACK, NJ 07601-5530
(973) 966-8630
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
—
Enumeration date
03/14/2022
Last updated
06/30/2022
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