Generational Community Center Llc
Legal Business Name
Generational Community Center Llc
NPI Number
1255001087
NPI Type
Organization
Enumeration Date
09/14/2021
Specialties
(Taxonomies)Name
Code
221700000X
106S00000X
171M00000X
372500000X
101Y00000X
171400000X
174H00000X
101YM0800X
104100000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
15510 THATCHER ST
15510 THATCHER ST
City
Detroit
Detroit
State
MI
MI
Postal Code
48235-3122
48235-3122
Country
US
US
Telephone Number
(313) 656-7105
(313) 656-7105
Authorized Official
Name
Ms. Sandra Vinson
Title or Position
ADMINSTRATOR
Telephone Number
(313) 656-7105
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/14/2021