Organization
APPLEROOTS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUMAYA SALAAD SHARDI (CO- OWNER)
(651) 279-7215
Entity
Organization
Contact information
Practice address
21 FOREST PARK APT 4, PORTLAND, ME 04101-1725
(651) 279-7215
Mailing address
2740 MINNEHAHA AVE APT 402, MINNEAPOLIS, MN 55406-2897
(651) 279-7215
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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