Healthcare Provider Details

I. General information

NPI: 1265388565
Provider Name (Legal Business Name): PATRICIA COOL
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4218 POINT MOUNTAIN RD
WEBSTER SPRINGS WV
26288-8248
US

IV. Provider business mailing address

4218 POINT MOUNTAIN RD
WEBSTER SPRINGS WV
26288-8248
US

V. Phone/Fax

Practice location:
  • Phone: 814-853-8394
  • Fax:
Mailing address:
  • Phone: 814-853-8394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: