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Organization

ALTARED ROOTS LLC

Active
Other names
Altared Roots
Organization subpart
No

Provider details

NPI number
Authorized official
GERARD DOUGLAS MILLER JR. C-FSD, C-CBE, I-CBE, (DOULA)
(301) 467-5612
Entity
Organization

Contact information

Practice address
11002 12TH AVE SW, SEATTLE, WA 98146-2126
(301) 467-5612
Mailing address
11002 12TH AVE SW, SEATTLE, WA 98146-2126
(301) 467-5612

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
374J00000X
Doula
Primary

Other

Enumeration date
04/21/2021
Last updated
01/23/2026
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