| Grow My Life, Llc | |
|
2411 Magnolia Dr Plover WI 54467-2951 | |
| (715) 254-5844 | |
| Not Available |
| Full Name | Grow My Life, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2411 Magnolia Dr, Plover, Wisconsin |
| Authorized Official Name and Position | Dana Lee Strohm (OWNER/OPERATOR) |
| Authorized Official Contact | 4148036372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow My Life, Llc 2411 Magnolia Dr Plover WI 54467-2951 Ph: (715) 254-5844 | Grow My Life, Llc 2411 Magnolia Dr Plover WI 54467-2951 Ph: (715) 254-5844 |
| NPI Number | 1538499686 |
|---|---|
| Provider Enumeration Date | 01/12/2010 |
| Last Update Date | 01/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538499686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 127906121 (Wisconsin) | Primary |
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