Organization
ROOTED AND GROUNDED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLISTINE E SIMMONS (CEO/OWNER)
(252) 332-4409
Entity
Organization
Contact information
Practice address
117 S MAIN STREET, RICH SQUARE, NC 27869-0001
(252) 332-4409
Mailing address
124 MAIN ST E, AHOSKIE, NC 27910-3416
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3867
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC3867
NC-DHSR
NC
Enumeration date
09/08/2009
Last updated
09/08/2009
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