Organization
ROOTS TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED FOUTZ (OWNER)
(505) 258-4471
Entity
Organization
Contact information
Practice address
2012 SAN JUAN BLVD, FARMINGTON, NM 87401-2220
(505) 258-4471
(505) 436-2294
Mailing address
2012 SAN JUAN BLVD, FARMINGTON, NM 87401-2220
(505) 258-4471
(505) 436-2294
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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