Organization
GENERATIONS AT HOME HOLDINGS, LLC
Active
Other names
Generations at Home
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RENZ NICHOLS (OWNER/CFO)
(727) 940-3414
Entity
Organization
Contact information
Practice address
1 BEACH DR SE, SUITE 302, ST PETERSBURG, FL 33701
(727) 940-3414
(727) 940-3415
Mailing address
1 BEACH DR SE STE 302, ST PETERSBURG, FL 33701-3963
(727) 940-3414
(727) 940-3415
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
299994364
FL
Other
Enumeration date
09/01/2017
Last updated
07/21/2022
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