Organization
HOME ROOTS LIQUID WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA JO BURRITT RN (OWNER)
(517) 279-2342
Entity
Organization
Contact information
Practice address
70 W CHICAGO ST, COLDWATER, MI 49036-1606
(517) 279-2342
(517) 279-8324
Mailing address
70 W CHICAGO ST, COLDWATER, MI 49036-1606
(517) 279-2342
(517) 279-8324
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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