Provider Demographics
NPI:1932571460
Name:PLANT A SEED
Entity Type:Organization
Organization Name:PLANT A SEED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PIGOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-486-0733
Mailing Address - Street 1:2021 AVENUE D
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-2747
Mailing Address - Country:US
Mailing Address - Phone:772-486-0733
Mailing Address - Fax:772-468-0120
Practice Address - Street 1:2021 AVENUE D
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-2747
Practice Address - Country:US
Practice Address - Phone:772-486-0733
Practice Address - Fax:772-468-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility