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Organization
ALLEN COOPER ENTERPRISE
Active
Organization
ALLEN COOPER ENTERPRISE
Active
Other names
Allen Cooper Enterprise
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSA ALLEN-COOPER (EXECUTIVE DIRECTOR)
(256) 566-7170
Entity
Organization
Contact information
Practice address
1508 15TH AVE SW, DECATUR, AL 35601-5404
(256) 566-7170
Mailing address
1939 RED SUNSET DR, DECATUR, AL 35603-4481
(256) 566-7170
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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