Generation Group Home
Assisted Living Facility in Austin, TX. Organization (NPI-2).
NPI number1104956366
StatusActive
Last updated in NPPESJul 16, 2008
Details
- NPI
- 1104956366
- Entity type
- Organization (NPI-2)
- Legal business name
- Generation Group Home
- Organization subpart
- No
- Enumeration date
- Mar 6, 2007
- Last updated
- Jul 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 050603 | TX | Yes |
Practice location
5605 Berkman DrAustin, TX 78723-2622
Phone 512-926-6813 · Fax 512-926-3730
Mailing address
5605 Berkman DrAustin, TX 78723-2622
Phone 512-926-6813 · Fax 512-926-3730
Authorized official
Patra E Cokley
Administration
5129266813
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