Organization
C. COOPER ENTERPRISES LLC
Active
Organization
C. COOPER ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY COOPER (OWNER/CEO)
(833) 878-3567
Entity
Organization
Contact information
Practice address
290 MARTIN LUTHER KING JR DR SE UNIT 1012, ATLANTA, GA 30312-2525
(833) 878-3567
Mailing address
290 MARTIN LUTHER KING JR DR SE UNIT 1012, ATLANTA, GA 30312-2525
(833) 878-3567
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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