Provider Demographics
NPI:1659556520
Name:GENERATIONAL HOSPICE INC
Entity Type:Organization
Organization Name:GENERATIONAL HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-610-6264
Mailing Address - Street 1:696 MOUNT ZION RD
Mailing Address - Street 2:SUITE 3-B
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-1597
Mailing Address - Country:US
Mailing Address - Phone:404-610-6264
Mailing Address - Fax:
Practice Address - Street 1:696 MOUNT ZION RD
Practice Address - Street 2:SUITE 3-B
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-1597
Practice Address - Country:US
Practice Address - Phone:404-610-6264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based