Organization
SEEDS 4 LIFE INC
Active
Organization
SEEDS 4 LIFE INC
Active
Other names
Seeds 4 Life Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA CLARK CMS,QMHS (EXEC. DIRECTOR)
(937) 949-7095
Entity
Organization
Contact information
Practice address
4812 FREDERICK PIKE, DAYTON, OH 45414-3835
(937) 949-7095
Mailing address
PO BOX 7, ENGLEWOOD, OH 45322-0007
(937) 949-7095
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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