| NPI | 1124678727 |
|---|---|
| Doing Business As | GENERATION GERANNAMO INC. |
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE JORDAN CEO 267-789-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |