PRAIRIE ROOTS WELLNESS, LLC

MC COOK, NE
NPI1467216275
Entity TypeOrganization
Authorized ContactERICA ELLICOTT
Physician Assistant
308-883-0658
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-02-12
Last Update Date2024-02-12
Business Address
PRAIRIE ROOTS WELLNESS, LLC
801 W C ST
MC COOK, NE 69001-3591
Phone number: 308-777-2476
Mailing Address
PRAIRIE ROOTS WELLNESS, LLC
PO BOX 565
MC COOK, NE 69001-0565
Phone number: 308-777-2476