| Generations Group Home | |
|
1763 Paseo San Luis Sierra Vista AZ 85635-4611 | |
| (520) 459-8433 | |
| Not Available |
| Full Name | Generations Group Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1763 Paseo San Luis, Sierra Vista, Arizona |
| Authorized Official Name and Position | John Turner (CEO) |
| Authorized Official Contact | 5204565212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Group Home 1763 Paseo San Luis Sierra Vista AZ 85635-4611 Ph: (520) 459-8433 | Generations Group Home 1763 Paseo San Luis Sierra Vista AZ 85635-4611 Ph: (520) 459-8433 |
| NPI Number | 1013580208 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013580208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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