Organization
COCCO ENTERPRISES INC
Active
Other names
Restore POC
Organization subpart
No
Provider details
NPI number
Authorized official
JANET WOODALL (DIRECTOR, CONTRACTING)
(336) 397-0993
Entity
Organization
Contact information
Practice address
1950 ROUTE 27, NORTH BRUNSWICK, NJ 08902-1300
(732) 951-0112
(732) 951-1727
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142794
MEDICIAD
NJ
Enumeration date
02/07/2007
Last updated
04/02/2020
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