| Generation Gerannamo | |
|
233 Kingston Rd Upper Darby PA 19082-3906 | |
| (267) 789-5106 | |
| Not Available |
| Full Name | Generation Gerannamo |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 233 Kingston Rd, Upper Darby, Pennsylvania |
| Authorized Official Name and Position | Antoinette Jordan (CEO) |
| Authorized Official Contact | 2677895106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generation Gerannamo 233 Kingston Rd Upper Darby PA 19082-3906 Ph: (267) 789-5106 | Generation Gerannamo 233 Kingston Rd Upper Darby PA 19082-3906 Ph: (267) 789-5106 |
| NPI Number | 1619741915 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/12/2023 |
| Certification Date | 11/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619741915 | NPI | - | NPPES |
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