Organization
GENERATIONS COMMUNITY SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORY JOHNSON (CHIEF EXECUTIVE OFFICER)
(901) 461-0040
Entity
Organization
Contact information
Practice address
2506 MOUNT MORIAH RD STE B-412, MEMPHIS, TN 38115-1511
(901) 360-0043
(901) 360-0044
Mailing address
2506 MOUNT MORIAH RD STE B-412, MEMPHIS, TN 38115-1511
(901) 360-0043
(901) 360-0044
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
110000301
TN
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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