Organization
GENERATIONS PROVIDER CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS M CANTU (ADMINISTRATOR)
(830) 746-9046
Entity
Organization
Contact information
Practice address
107 S CHERRY ST UNIT B, PEARSALL, TX 78061-2407
(830) 746-9046
(830) 746-9048
Mailing address
107 S CHERRY ST UNIT B, PEARSALL, TX 78061-2407
(830) 746-9046
(830) 746-9048
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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