Organization
COOSA FAMILY CARE LLC
Active
Parent organization
COOSA FAMILY CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOSA FAMILY CARE LLC
Authorized official
KRISTOPHER G HOLDER RN (OWNER)
(256) 490-7010
Entity
Organization
Contact information
Practice address
310 W GRAND AVE, RAINBOW CITY, AL 35906-3236
(256) 459-5132
(256) 459-5179
Mailing address
310 W GRAND AVE, RAINBOW CITY, AL 35906-3236
(256) 459-5132
(256) 459-5179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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