| Rooted Heart Support Services Llc | |
|
310 N 31st St Camden NJ 08105-1418 | |
| (856) 308-5088 | |
| Not Available |
| Full Name | Rooted Heart Support Services Llc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 310 N 31st St, Camden, New Jersey |
| Authorized Official Name and Position | Letisha A Aytch (CEO) |
| Authorized Official Contact | 8562462926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Heart Support Services Llc Po Box 28 Sicklerville NJ 08081-0028 Ph: (856) 246-2926 | Rooted Heart Support Services Llc 310 N 31st St Camden NJ 08105-1418 Ph: (856) 308-5088 |
| NPI Number | 1356238802 |
|---|---|
| Provider Enumeration Date | 06/18/2025 |
| Last Update Date | 07/07/2025 |
| Certification Date | 07/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356238802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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