Organization
LEGACY ROOTS HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KADIJAH PRINGLE-COTTERELL (ADMINISTRATOR / OWNER)
(646) 239-1395
Entity
Organization
Contact information
Practice address
3379 PEACHTREE RD NE STE 700-740, ATLANTA, GA 30326-1031
(646) 239-1395
(646) 239-1395
Mailing address
909 TAMARRON PKWY SE, ATLANTA, GA 30339-6769
(646) 239-1395
(646) 239-1395
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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