Organization · NPI-2

1-2-3 Grow LLC

Early Intervention Provider Agency · Huntington, WV

NPI number1295991883
StatusActive
Last updated in NPPESAug 2, 2008

Details

NPI
1295991883
Entity type
Organization (NPI-2)
Legal business name
1-2-3 Grow LLC
Organization subpart
No
Enumeration date
Aug 2, 2008
Last updated
Aug 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider AgencySLP-0802WVYes

Practice location

624 South Ter
Huntington, WV 25705-1511

Phone 304-412-4246 · Fax 304-523-0044

Mailing address

624 South Ter
Huntington, WV 25705-1511

Phone 304-412-4246 · Fax 304-523-0044

Authorized official

Susan Pay
Owner
3044124246

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