Organization
GROWING FOUNDATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEENA JACKSON (OWNER/PRESIDENT)
(270) 799-8662
Entity
Organization
Contact information
Practice address
303 WHITE DOGWOOD DR, BOWLING GREEN, KY 42101-7536
(270) 799-8662
Mailing address
303 WHITE DOGWOOD DR, BOWLING GREEN, KY 42101-7536
(270) 799-8662
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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