Provider Demographics
NPI:1467631093
Name:GENERATIONS HEALTH ASSOC. INC. DBA GENERATIONS MENTAL HEALTH CENTER
Entity Type:Organization
Organization Name:GENERATIONS HEALTH ASSOC. INC. DBA GENERATIONS MENTAL HEALTH CENTER
Other - Org Name:KRISTOPHER WAYNE 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 1:2962 CRISP SPRINGS RD
Practice Address - Street 2:
Practice Address - City:MC MINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-5238
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:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility