Organization
COOGAN CAREGIVERS LLC
Active
Other names
Homewatch CareGivers
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN COOGAN PARKS C.S.A. (PRESIDENT/CEO)
(410) 715-9175
Entity
Organization
Contact information
Practice address
3440 ELLICOTT CENTER DR, SUITE 101, ELLICOTT CITY, MD 21043-4155
(410) 715-9175
(410) 715-9176
Mailing address
3440 ELLICOTT CENTER DR, SUITE 101, ELLICOTT CITY, MD 21043-4155
(410) 715-9175
(410) 715-9176
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
R2424
MD
253Z00000X
In Home Supportive Care Agency
Primary
R2424
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288903000
—
MD
Enumeration date
10/24/2012
Last updated
05/09/2017
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