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General NPI Number Information
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NPI Number | 1356869606
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Entity Type | Organization
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Legal Business Name | SEEDS IN ACTION COMMUNTY HEALTH CARE, INC.
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 2210 LINE AVE STE 101
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City | SHREVEPORT
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State | LA
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Zip | 71104-2100
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Country | US
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Telephone | 318-771-8486
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Fax |
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Provider Business Mailing Address
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Address Line | 2210 LINE AVE STE 101
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City | SHREVEPORT
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State | LA
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Zip | 71104-2100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ALLISON YOUNGBLOOD
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Credential |
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Telephone | 318-771-8486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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