Organization

Generational Community Center Llc

Legal Business Name

Generational Community Center Llc

NPI Number

1255001087

NPI Type

Organization

Enumeration Date

09/14/2021

Specialties

(Taxonomies)

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

Provider Address