Cothran Innovations LLC
NPI #1194442814 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1194442814
- Entity Type
- Organization
- Organization Name
- Cothran Innovations LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Oct 24, 2022
- Last Updated
- Dec 10, 2025
Practice Location
- Address
- 120 CAPCOM AVE STE 103
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-6537
- Phone
- (708) 543-4310
Authorized Official
- Name
- SHAWN MICHEAL COTHRAN
- Title
- OWNER/ AGENCY DIRECTOR
- Phone
- (708) 543-4310
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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