| Sl Rooted In Love Llc | |
|
4805 Norwaldo Ave Indianapolis IN 46205-2182 | |
| (317) 517-7286 | |
| Not Available |
| Full Name | Sl Rooted In Love Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4805 Norwaldo Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Shelley Landis (CEO) |
| Authorized Official Contact | 3175177286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sl Rooted In Love Llc 4805 Norwaldo Ave Indianapolis IN 46205-2182 Ph: (317) 517-7286 | Sl Rooted In Love Llc 4805 Norwaldo Ave Indianapolis IN 46205-2182 Ph: (317) 517-7286 |
| NPI Number | 1447023858 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447023858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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