Organization
4ROOTS FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY GROVES EDD (EXECUTIVE DIRECTOR)
(615) 260-0347
Entity
Organization
Contact information
Practice address
1918 W PRINCETON ST, ORLANDO, FL 32804-4706
(407) 775-6424
Mailing address
1918 W PRINCETON ST, ORLANDO, FL 32804-4706
(407) 775-6424
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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