Individual
HEATHER MICHELLE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 FAIRVIEW AVE, SARDINIA, OH 45171-9354
(937) 515-2439
Mailing address
PO BOX 45, SARDINIA, OH 45171-0045
(937) 515-2439
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800182
—
OH
Enumeration date
02/22/2023
Last updated
02/22/2023
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