Organization
GENERATIONS CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM KASPER (OWNER)
(813) 565-7611
Entity
Organization
Contact information
Practice address
6800 N DALE MABRY HWY STE 222, TAMPA, FL 33614-3984
(813) 565-7611
Mailing address
6800 N DALE MABRY HWY STE 222, TAMPA, FL 33614-3984
(813) 565-7611
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
10/15/2025
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