Organization
COOSA FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER HOLDER (OWNER/MANAGER)
(256) 459-5132
Entity
Organization
Contact information
Practice address
310 W GRAND AVE, RAINBOW CITY, AL 35906
(256) 459-5132
(256) 459-5179
Mailing address
310 W GRAND AVE, RAINBOW CITY, AL 35906
(256) 459-5132
(256) 543-1661
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2019
Last updated
10/31/2022
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