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NPI Code Detail

MEDICARE: GENERATIONS HOME CARE LLC

MEDICARE: GENERATIONS HOME CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1598179889
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERATIONS HOME CARE LLC
Provider Business Mailing Address
First Line : 3662 MARKET ST
Second Line : SUITE 205
City : CLARKSTON
State : GA
Zip : 30021-1246
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3662 MARKET ST
Second Line : SUITE 205
City : CLARKSTON
State : GA
Zip : 30021-1246
Country : US
Telephone Number : 404-908-3413
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DHAN RAI
Credential :
Telephone Number : 404-908-3413
Provider Enumeration Date : 06/16/2014
Last Update Date : 06/16/2014

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