Organization
ROOTED AND GROUNDED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLISTINE SIMMONS (DIRECTOR/CEO)
(252) 332-4409
Entity
Organization
Contact information
Practice address
116 EAST GRUBB STREET, HERTFORD, NC 27944-1181
(252) 426-7799
Mailing address
124 MAIN ST E, AHOSKIE, NC 27910-3416
(252) 332-4409
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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