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NPI Code Detail

MEDICARE: GENERATIONS FAMILY SUPPORT SERVICES, LLC

MEDICARE: GENERATIONS FAMILY SUPPORT SERVICES, 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1023325909
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERATIONS FAMILY SUPPORT SERVICES, LLC
Provider Business Mailing Address
First Line : 1613 STAR BATT DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-3706
Country : US
Telephone Number : 248-844-9650
Fax Number : 248-844-9651
Provider Business Practice Location Address
First Line : 1613 STAR BATT DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-3706
Country : US
Telephone Number : 248-844-9650
Fax Number : 248-844-9651
Authorized Official
Title or Position : PRESIDENT, CEO
Name : MR. VINCENT FELICE SALVIA
Credential : BS, MBA
Telephone Number : 248-844-9650
Provider Enumeration Date : 09/13/2010
Last Update Date : 04/06/2011

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