Organization
COCCO ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH YOUNG (DIRECTOR OF CONTRACTING)
(336) 397-0991
Entity
Organization
Contact information
Practice address
788 SHREWSBURY AVE, BLDG 2 STE 205, TINTON FALLS, NJ 07724-3080
(732) 842-2047
(732) 842-2049
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142301
—
NJ
Enumeration date
02/09/2007
Last updated
10/18/2017
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