Individual
CHARITY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3102 PLANTATION DR APT 2, BARDSTOWN, KY 40004-9719
(502) 601-7255
Mailing address
3102 PLANTATION DR APT 2, BARDSTOWN, KY 40004-9719
(502) 601-7255
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
500242
KY
253Z00000X
In Home Supportive Care Agency
500242
KY
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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