Provider Demographics
NPI:1437613155
Name:SEEDS OF HOPE NUTRITION
Entity Type:Organization
Organization Name:SEEDS OF HOPE NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:HIXSON
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:720-900-1697
Mailing Address - Street 1:PO BOX 2549
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80201-0001
Mailing Address - Country:US
Mailing Address - Phone:720-900-1697
Mailing Address - Fax:
Practice Address - Street 1:1315 E 37TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-3303
Practice Address - Country:US
Practice Address - Phone:937-212-1166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-27
Last Update Date:2019-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251S00000XAgenciesCommunity/Behavioral Health