Individual
BRITTNII ROOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 SHREVEPORT RD, RICHMOND, VA 23223-3394
(804) 737-2904
Mailing address
113 SHREVEPORT RD, RICHMOND, VA 23223-3394
(804) 737-1729
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
VA
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
VA
Other
Enumeration date
12/22/2014
Last updated
03/02/2015
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