Organization
COOK'S HOME HEALTH CENTER, INC.
Active
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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