| The Mangroves Seeds Of Change, Llc | |
|
148 Oak Dr Clewiston FL 33440-9417 | |
| (863) 268-5802 | |
| Not Available |
| Full Name | The Mangroves Seeds Of Change, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 148 Oak Dr, Clewiston, Florida |
| Authorized Official Name and Position | Heidi E Jameson (OWNER) |
| Authorized Official Contact | 8632685802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mangroves Seeds Of Change, Llc 148 Oak Dr Clewiston FL 33440-9417 Ph: (863) 268-5802 | The Mangroves Seeds Of Change, Llc 148 Oak Dr Clewiston FL 33440-9417 Ph: (863) 268-5802 |
| NPI Number | 1427805373 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427805373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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