Organization
COOK'S HOME HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN DIANE MACDONALD RN ADM (ADMINISTRATOR)
(860) 283-8208
Entity
Organization
Contact information
Practice address
81 HILLSIDE AVENUE, PLYMOUTH, CT 06782-0275
(860) 283-8208
(860) 283-6667
Mailing address
81 HILLSIDE AVENUE, PLYMOUTH, CT 06782-0275
(860) 283-8208
(860) 283-6667
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
333300000X
Emergency Response System Companies
—
CT
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C008045866
—
CT
Enumeration date
10/14/2016
Last updated
10/14/2016
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