Individual
CAROLINE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME CARE PROVIDER
Contact information
Practice address
8700 CONTINENTAL AVE, WARREN, MI 48089-1790
(586) 806-6966
(586) 283-0380
Mailing address
PO BOX 613, EASTPOINTE, MI 48021-0613
(313) 208-3020
(586) 586-2830
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7765358
—
MI
Enumeration date
01/22/2022
Last updated
01/22/2022
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