Organization
GROWING ROOTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY LAMORE (COO)
(616) 366-5431
Entity
Organization
Contact information
Practice address
8300 KRUPP AVE NE, COMSTOCK PARK, MI 49321-9531
(616) 366-5431
Mailing address
6090 BELMONT AVE NE, BELMONT, MI 49306-9601
(616) 366-5431
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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