Organization
ROOTS WELLNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMEE DIVER LBCLC (LBCLC/ OWNER)
(937) 657-8101
Entity
Organization
Contact information
Practice address
969 READING RD STE H, MASON, OH 45040-2654
(937) 657-8101
Mailing address
5312 JOSEPH LN, MASON, OH 45040-1270
(513) 317-0905
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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