Organization
SEEDS IN ACTION COMMUNITY HEALTH CARE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON YOUNGBLOOD (ONWER)
(318) 771-8486
Entity
Organization
Contact information
Practice address
2210 LINE AVE STE 101, SHREVEPORT, LA 71104-2100
(318) 771-8486
Mailing address
2210 LINE AVE STE 101, SHREVEPORT, LA 71104-2100
(318) 771-8486
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2504924
—
LA
Enumeration date
12/03/2018
Last updated
02/06/2024
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