Individual
MS. LAKEYA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2885 SHAWSIDE DR, DALZELL, SC 29040-9796
(803) 795-3089
Mailing address
2885 SHAWSIDE DR, DALZELL, SC 29040-9796
(803) 795-3089
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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