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Organization

ROOTS, LIMITED LIABILITY CO.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE RENEE SHARMAN (OWNER/DIRECTOR)
(970) 208-5221
Entity
Organization

Contact information

Practice address
436 PURPLE PLUM CT, FRUITA, CO 81521-6205
(970) 208-5221
Mailing address
436 PURPLE PLUM CT, FRUITA, CO 81521-6205
(970) 208-5221

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
04/10/2020
Last updated
04/10/2020
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