| Rooted And Restored Llc | |
|
250 Old Mill Ln Broadway VA 22815-2754 | |
| (540) 282-1993 | |
| Not Available |
| Full Name | Rooted And Restored Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 250 Old Mill Ln, Broadway, Virginia |
| Authorized Official Name and Position | Staci Woods (OWNER) |
| Authorized Official Contact | 5402821993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted And Restored Llc Po Box 536 Timberville VA 22853-0536 Ph: (540) 282-1993 | Rooted And Restored Llc 250 Old Mill Ln Broadway VA 22815-2754 Ph: (540) 282-1993 |
| NPI Number | 1740055524 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740055524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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