Provider Demographics
NPI:1942457957
Name:SEEDING LOVE
Entity Type:Organization
Organization Name:SEEDING LOVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:MS
Authorized Official - First Name:TYKARA
Authorized Official - Middle Name:S
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-615-1719
Mailing Address - Street 1:4800 CHEVIOT RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-4521
Mailing Address - Country:US
Mailing Address - Phone:704-615-1719
Mailing Address - Fax:
Practice Address - Street 1:4800 CHEVIOT RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-4521
Practice Address - Country:US
Practice Address - Phone:704-615-1719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health