| Ka Roots Llc | |
|
112 Valentine Ct Salisbury NC 28147-6557 | |
| (718) 650-1218 | |
| Not Available |
| Full Name | Ka Roots Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 112 Valentine Ct, Salisbury, North Carolina |
| Authorized Official Name and Position | Tara Walston (OWNER) |
| Authorized Official Contact | 7186501218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ka Roots Llc 112 Valentine Ct Salisbury NC 28147-6557 Ph: () - | Ka Roots Llc 112 Valentine Ct Salisbury NC 28147-6557 Ph: (718) 650-1218 |
| NPI Number | 1023901725 |
|---|---|
| Provider Enumeration Date | 05/31/2025 |
| Last Update Date | 06/07/2025 |
| Certification Date | 06/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023901725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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