MEDICARE: CHRISTOPHER LEANDER COOK

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	374U00000X	Home Health Aide
3	372600000X	Adult Companion

General Provider Information

NPI Number	:	1033743745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER LEANDER COOK

Provider Business Mailing Address
First Line	:	3615 SILVER PARK DR APT 201
Second Line	:
City	:	SUITLAND
State	:	MD
Zip	:	20746-2933
Country	:	US
Telephone Number	:	202-910-4676
Fax Number	:

Provider Business Practice Location Address
First Line	:	3615 SILVER PARK DR APT 201
Second Line	:
City	:	SUITLAND
State	:	MD
Zip	:	20746-2933
Country	:	US
Telephone Number	:	202-910-4676
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2020
Last Update Date	:	03/03/2020

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Directions to “ CHRISTOPHER LEANDER COOK ” Practice Location

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