OrganizationActive
Nourished Roots, LLC
NPI 1982462495 · Health Maintenance Organization · North Salt Lake, UT
Provider details
- NPI number
- 1982462495
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Alyssa Scotese, Direct Owner(440) 479-0042
Specialties & taxonomies
Managed Care Organizations
Practice location
52 W 330 N
North Salt Lake, UT 84054-2332
Phone: (440) 479-0042
Approximate (ZIP-level) locationGet directions
Mailing address
52 W 330 N
North Salt Lake, UT 84054-2332
Registry dates
- Enumerated
- 2024-03-08
- Last updated
- 2024-03-08
- Certified
- 2024-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.