Cooper Residential Services

NPI #1164642807 in Colby, Kansas

Provider Information

NPI Number: 1164642807
Entity Type: Organization
Organization Name: Cooper Residential Services
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 485 N COURT AVE
City: Colby
State: Kansas
ZIP Code: 67701-2422
Phone: (785) 460-6771

Authorized Official

Name: MRS. ELFRIEDE COOPER
Title: OWNER
Phone: (785) 460-6771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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