Healthcare Provider Details

I. General information

NPI: 1063369692
Provider Name (Legal Business Name): LARSHAY TEMIKA COBB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 ADAMS ST
MOBILE AL
36610-2515
US

IV. Provider business mailing address

2308 ADAMS ST
MOBILE AL
36610-2515
US

V. Phone/Fax

Practice location:
  • Phone: 251-644-9031
  • Fax:
Mailing address:
  • Phone: 251-644-9031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateAL
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: