Cooperative Home Care, Inc.
NPI #1619551215 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1619551215
- Entity Type
- Organization
- Organization Name
- Cooperative Home Care, Inc.
- Primary Specialty
- Nursing Care
- Enumeration Date
- May 10, 2021
- Last Updated
- Dec 10, 2021
Practice Location
- Address
- 107 LANAGHAN DR
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2730
- Phone
- (618) 394-5681
Authorized Official
- Name
- MITCH I WAKS
- Title
- CEO & OWNER
- Phone
- (314) 772-8585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Care |
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