| Generations Group Homes Of Greenville, Inc | |
|
821 Dunklin Bridge Rd Fountain Inn SC 29644-9725 | |
| (864) 243-5557 | |
| (864) 243-5947 |
| Full Name | Generations Group Homes Of Greenville, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 821 Dunklin Bridge Rd, Fountain Inn, South Carolina |
| Authorized Official Name and Position | Steven E Reynolds (CONSULTANT) |
| Authorized Official Contact | 8642435557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Group Homes Of Greenville, Inc Po Box 80009 Simpsonville SC 29680-0001 Ph: (864) 243-5557 | Generations Group Homes Of Greenville, Inc 821 Dunklin Bridge Rd Fountain Inn SC 29644-9725 Ph: (864) 243-5557 |
| NPI Number | 1336202761 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336202761 | NPI | - | NPPES |
| 988MXH | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | SR-0008139001-CCI (South Carolina) | Primary |
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