Individual
ELLIE MARIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2165 S STATE ROUTE 48, LUDLOW FALLS, OH 45339-8766
(937) 641-9010
Mailing address
2165 S STATE ROUTE 48, LUDLOW FALLS, OH 45339-8766
(937) 641-9010
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/19/2022
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