Organization
218ROOTS OF LIFE TRANSITIONAL HOUSING BY VONDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONDA TAYLOR (OWNER)
(414) 544-5656
Entity
Organization
Contact information
Practice address
3912 7TH ST S, MOORHEAD, MN 56560-5642
(414) 544-5656
Mailing address
3912 7TH ST S, MOORHEAD, MN 56560-5642
(414) 544-5656
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
333300000X
Emergency Response System Companies
—
—
385H00000X
Respite Care
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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