Individual
DOMINIQUE COONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8735 DUNWOODY PL # 6442, ATLANTA, GA 30350-2995
(470) 554-2226
Mailing address
1328 BASS LN, MCDONOUGH, GA 30253-4115
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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