Type 2 organization · NPI 1003521246
ROOTS WITHIN OSUN, LLC
367A00000X · FORT WAYNE, IN
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Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 367A00000X | 367A00000X | Primary |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s