Fresh Roots, Inc. in Rogers - Professional
Fresh Roots, Inc. - NPI 1053479634
Fresh Roots, Inc. is a Professional in Rogers, Arkansas. Fresh Roots, Inc. practices all healthcare services and medical treatments related to Professional. The NPI Number for Fresh Roots, Inc. is 1053479634. The last update date is 2020-08-22.
Fresh Roots, Inc.'s current location address is 318 W Poplar St, Rogers, Arkansas. You can contact this provider via phone number 4799868655 and fax number 4796339398. The mailing address for Fresh Roots, Inc. is 318 W Poplar St, Rogers, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fresh Roots, Inc. |
|---|---|
| Address | 318 W Poplar St, Rogers, Arkansas |
| Phone Number | 4799868655 |
| Fax Number | 4796339398 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO-DIRECTO |
|---|---|
| Authorized Official Name | Tyson Christy Dell |
| Credentials | RN, MA, LM |
| Telephone Number | 4799868655 |
NPI Number Detail
| NPI Number | 1053479634 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 318 W Poplar St |
|---|---|
| City | Rogers |
| State | Arkansas (AR) |
| Post Code | 727564559 |
| Phone Number | 4799868655 |
| Fax Number | 4796339398 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | P9201002 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Fresh Roots, Inc. by the Centers for Medicare & Medicaid Services?
The Fresh Roots, Inc. has been assigned the NPI (National Provider Identifier) 1053479634 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Fresh Roots, Inc. is physically located?
The Fresh Roots, Inc. is situated at the following address: 318 W Poplar St, Rogers, AR 727564559.
What is Fresh Roots, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Fresh Roots, Inc. is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Fresh Roots, Inc. receive the assignment of its 1053479634 from the Centers for Medicare & Medicaid Services?
The Fresh Roots, Inc. was issued its 1053479634 by the Centers for Medicare & Medicaid Services on 2006-12-05.
When was the information regarding Fresh Roots, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fresh Roots, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.