| Generations Life Care, Llc | |
|
1290 Baltimore Pike Ste 4 Chadds Ford PA 19317-7361 | |
| (610) 558-9600 | |
| (610) 601-1540 |
| Full Name | Generations Life Care, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1290 Baltimore Pike Ste 4, Chadds Ford, Pennsylvania |
| Authorized Official Name and Position | Edythe Anne Shapiro (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6105589600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Life Care, Llc 1290 Baltimore Pike Ste 4 Chadds Ford PA 19317-7361 Ph: (610) 558-9600 | Generations Life Care, Llc 1290 Baltimore Pike Ste 4 Chadds Ford PA 19317-7361 Ph: (610) 558-9600 |
| NPI Number | 1144734401 |
|---|---|
| Provider Enumeration Date | 11/24/2017 |
| Last Update Date | 11/24/2017 |
| Medicare PECOS PAC ID | 8921363086 |
|---|---|
| Medicare Enrollment ID | O20180521002562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144734401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW017614 (Pennsylvania) | Primary |
| Provider Name | Edythe A Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245735265 PECOS PAC ID: 4284999343 Enrollment ID: I20180521002660 |
| Provider Name | Jeannette Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174153480 PECOS PAC ID: 1951791011 Enrollment ID: I20211203000200 |
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