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NPI Code Detail

MEDICARE: JANIAH COOPER NURSING ASST.

MEDICARE:   JANIAH  COOPER  NURSING ASST.
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
13747P1801XPersonal Care AttendantGA

General Provider Information

NPI Number : 1558239517
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANIAH COOPER NURSING ASST.
Provider Business Mailing Address
First Line : 40 CULVER ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31404-2016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 E 68TH ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4710
Country : US
Telephone Number : 912-298-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2025
Last Update Date : 10/29/2025

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Directions to “ JANIAH COOPER NURSING ASST.” Practice Location

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