NPI 1245007095

Deep Roots LLC

Organisation Case Manager/Care Coordinator Fargo, ND

Practice location

Address: 1351 Page Dr S STE 200, Fargo, ND 58103-3536
Phone: (701) 895-4353

Authorised official

Name: Cole Thomsen
Title: President
Phone: (701) 895-4353

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1245007095
Entity type: Organization
NPI issued: 11 Dec 2023
Record last updated: 5 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.