Healthcare Provider Details
I. General information
NPI: 1205070117
Provider Name (Legal Business Name): COS NURSES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2009
Last Update Date: 04/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1175 NE 125TH ST 204
NORTH MIAMI FL
33161-5015
US
IV. Provider business mailing address
1175 NE 125TH ST 204
NORTH MIAMI FL
33161-5015
US
V. Phone/Fax
- Phone: 305-892-6556
- Fax: 305-892-6551
- Phone: 305-892-6556
- Fax: 305-892-6551
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CYNTHIA
SANDERS
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-892-6556