Organization
GENERATIONS PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIMIN NAMDARI (ADMINISTRATOR)
(318) 210-1785
Entity
Organization
Contact information
Practice address
12633 MEMORIAL DR #242 UNIT, HOUSTON, TX 77024
(318) 210-1785
Mailing address
12633 MEMORIAL DR #242 UNIT, HOUSTON, TX 77024
(318) 210-1785
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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