Organization
RENEWED ROOTS NW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARRI ANNE WARD (OWNER/DIRECTOR OF OPERATIONS)
(509) 866-8417
Entity
Organization
Contact information
Practice address
12905 N CHERRY ST, MEAD, WA 99021-9610
(509) 866-8417
Mailing address
12905 N CHERRY ST, MEAD, WA 99021-9610
(509) 866-8417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2026
Last updated
08/08/2026
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