Individual
MS. LAREE LEE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7743 SEWARD PARK AVE S, SEATTLE, WA 98118-4248
(206) 497-0470
(206) 497-0468
Mailing address
7743 SEWARD PARK AVE S, SEATTLE, WA 98118-4248
(206) 497-0470
(206) 497-0469
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182507252
IPN
WA
05
—
212387101
—
WA
Enumeration date
03/27/2019
Last updated
03/27/2019
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