Provider Demographics
NPI: | 1407045610 |
---|---|
Name: | GENERATIONSHEALTH ASSOC. INC.,GENERATIONS OF MORRISON |
Entity Type: | Organization |
Organization Name: | GENERATIONSHEALTH ASSOC. INC.,GENERATIONS OF MORRISON |
Other - Org Name: | NIGHBERT HOUSE |
Other - Org Type: | Other Name |
Authorized Official - Title/Position: | PRES./CFO |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | KATHY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CAMPBELL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 931-815-1212 |
Mailing Address - Street 1: | PO BOX 640 |
Mailing Address - Street 2: | |
Mailing Address - City: | MC MINNVILLE |
Mailing Address - State: | TN |
Mailing Address - Zip Code: | 37111-0640 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 931-815-1212 |
Mailing Address - Fax: | 931-815-1221 |
Practice Address - Street 1: | 497 SUNNY ACRES RD |
Practice Address - Street 2: | |
Practice Address - City: | MORRISON |
Practice Address - State: | TN |
Practice Address - Zip Code: | 37357-0640 |
Practice Address - Country: | US |
Practice Address - Phone: | 931-815-1212 |
Practice Address - Fax: | 931-815-1221 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-10-24 |
Last Update Date: | 2007-10-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |