MEDICARE: ZACHERY SEEDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1215447461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHERY SEEDEN

Provider Business Mailing Address
First Line	:	1328 E MAIN ST APT 116
Second Line	:
City	:	LOUISVILLE
State	:	OH
Zip	:	44641-1967
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1328 E MAIN ST APT 116
Second Line	:
City	:	LOUISVILLE
State	:	OH
Zip	:	44641-1967
Country	:	US
Telephone Number	:	330-598-7104
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2017
Last Update Date	:	10/02/2017

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Directions to “ ZACHERY SEEDEN ” Practice Location

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