Individual
MISS JOAN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 LYDE AVE, LOUISA, VA 23093-6513
(804) 615-3370
Mailing address
PO BOX 2213, LOUISA, VA 23093-3713
(804) 615-3370
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
1401156079
VA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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