Organization Name: | SEED OF LIFE LLC |
NPI Number: | 1447520366 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIELLE SAAD (PHYSCIAN/PARTNER) |
Mailing Address: | 47 Water St #104 Hallowell |
State: | ME US |
Postal Code: | 043471400 |
Phone Number: | 2075128633 |
Fax Number: | 8886880407 |
NPI Enumeration Date: | 01/10/2012 |
NPI Last Update Date: | 01/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2142 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |