Provider Demographics
NPI:1699891010
Name:GENRAL HEALTHCARE RESOURCES, INC.
Entity type:Organization
Organization Name:GENRAL HEALTHCARE RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FREDIN
Authorized Official - Suffix:X
Authorized Official - Credentials:
Authorized Official - Phone:772-781-7772
Mailing Address - Street 1:4800 SE FEDERAL HWY
Mailing Address - Street 2:#5
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-8567
Mailing Address - Country:US
Mailing Address - Phone:772-283-3326
Mailing Address - Fax:
Practice Address - Street 1:4800 SE FEDERAL HWY
Practice Address - Street 2:#5
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-8567
Practice Address - Country:US
Practice Address - Phone:772-283-3326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9196629251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care