Organization
COOK COMMUNITY HEALTH AGENCY INC
Active
Other names
Cook Community Health Agency INC
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN MARK CARTER II II (CEO)
(954) 461-4611
Entity
Organization
Contact information
Practice address
528 N DIXIE HWY, HOLLYWOOD, FL 33020-4404
(954) 461-4611
Mailing address
528 N DIXIE HWY, HOLLYWOOD, FL 33020-4404
(954) 461-4611
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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