Provider Demographics
NPI:1336771542
Name:NEW LIFE SEEDS
Entity Type:Organization
Organization Name:NEW LIFE SEEDS
Other - Org Name:MARJIRE HUMPHREY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARJIRE
Authorized Official - Middle Name:CAROLYN
Authorized Official - Last Name:HUMPHREY
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:720-335-9466
Mailing Address - Street 1:3410 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1853
Mailing Address - Country:US
Mailing Address - Phone:720-335-9466
Mailing Address - Fax:
Practice Address - Street 1:3410 CHERRY ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1853
Practice Address - Country:US
Practice Address - Phone:720-726-6212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management