Organization
GREATEST GENERATION, INC.
Active
Other names
The Shannon Gray Rehabilitation & Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GRAY BENNETT LNHA (PRESIDENT)
(336) 253-6491
Entity
Organization
Contact information
Practice address
2005 SHANNON GRAY CT, JAMESTOWN, NC 27282-9183
(336) 307-4729
(336) 307-4961
Mailing address
116 LANE DR, TRINITY, NC 27370-9343
(336) 431-8888
(336) 431-9064
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405552
—
NC
Enumeration date
03/13/2009
Last updated
12/08/2010
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