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Organization
ROOTED REHABILITATION LLC
Active
Organization
ROOTED REHABILITATION LLC
Active
Other names
Rooted Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN DIVINITY II DPT (CEO)
(310) 753-7500
Entity
Organization
Contact information
Practice address
849 E VICTORIA ST UNIT 609, CARSON, CA 90746-1558
(310) 753-7500
Mailing address
849 E VICTORIA ST UNIT 609, CARSON, CA 90746-1558
(310) 753-7500
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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