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NPI Code Detail

MEDICARE: COOPERATIVE HOME HEALTH CARE OF ATLANTIC COUNTY, INC.

MEDICARE: COOPERATIVE HOME HEALTH CARE OF ATLANTIC COUNTY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency22394NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437154820
Entity Type Code : Organization
Provider Name (Legal Business Name) : COOPERATIVE HOME HEALTH CARE OF ATLANTIC COUNTY, INC.
Provider Business Mailing Address
First Line : 6550 DELILAH RD
Second Line : SUITE 304
City : EGG HARBOR TWP
State : NJ
Zip : 08234-5142
Country : US
Telephone Number : 609-484-7300
Fax Number : 609-407-5384
Provider Business Practice Location Address
First Line : 6550 DELILAH RD
Second Line : SUITE 304
City : EGG HARBOR TWP
State : NJ
Zip : 08234-5142
Country : US
Telephone Number : 609-484-7300
Fax Number : 609-407-5384
Authorized Official
Title or Position : EXECUTIVE DIRECTOR / ADMINISTRATOR
Name : ELLEN WOLOWNIK
Credential : RN
Telephone Number : 609-484-7318
Provider Enumeration Date : 06/14/2005
Last Update Date : 09/10/2008

Similar Medicare Providers

1699760157 — ATLANTICARE HEALTH SERVICES, INC.
Practice Location Address:
6550 DELILAH RD. , SUITE 210
EGG HARBOR TWP, NJ
08234-5142
Practice Phone: 609-407-2020
Practice Fax: 609-407-2021
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Practice Location Address:
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Practice Phone: 612-915-0049
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Practice Fax:
1619553559 — NICHOLE MARIE BRUA
Practice Location Address:
3007 HARBOR LN N STE 1600
PLYMOUTH, MN
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Practice Fax:
1538831987 — ROBERTA RIDYN KELLEY LMFT
Practice Location Address:
3007 HARBOR LN N STE 1600
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Practice Fax:
1639898158 — LAURA HOLMBERG LPCC
Practice Location Address:
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Practice Fax:

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