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Organization

SEEDS OF HOPE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAULETTE T ASOMAH (OWNER / CHIEF ADMINISTRATOR)
(404) 753-6569
Entity
Organization

Contact information

Practice address
581 GARDEN WALK BLVD, COLLEGE PARK, GA 30349-6675
(404) 753-6569
(404) 755-6731
Mailing address
PO BOX 93262, ATLANTA, GA 30377-0262
(404) 753-6569
(404) 755-6731

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000720101AH
GA
05
000720101AL
GA
05
000720101AN
GA
05
000720101AO
GA
05
000720101AS
GA
05
000720101AT
GA
05
000720101AX
GA
05
000720101AY
GA
05
000720101BB
GA
05
000720101S
GA
05
000720101W
GA
05
000720101X
GA
Enumeration date
11/17/2006
Last updated
11/04/2015
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