Organization
CO-OP MANAGED HEALTH CARE
Active
Other names
CO-OP CARE AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA KAY FULLER RN (CEO/ADMINISTRATOR)
(757) 576-8400
Entity
Organization
Contact information
Practice address
205 THOROUGHBRED LN, #202, CHESAPEAKE, VA 23320-2695
(757) 576-8400
Mailing address
205 THOROUGHBRED LN, #202, CHESAPEAKE, VA 23320-2695
(757) 576-8400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0001210835
VA
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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