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NPI Code Detail

MEDICARE: MADELINE COLE COGAR

MEDICARE: MADELINE COLE COGAR
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
1373H00000XDay Training/Habilitation Specialist
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1932726387
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE COLE COGAR
Provider Business Mailing Address
First Line : 804 BROAD ST
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-1796
Country : US
Telephone Number : 304-872-2209
Fax Number :
Provider Business Practice Location Address
First Line : 589 MIDWAY RD
Second Line :
City : ALUM CREEK
State : WV
Zip : 25003-9577
Country : US
Telephone Number : 304-744-1636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2020
Last Update Date : 11/03/2022

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Directions to “ MADELINE COLE COGAR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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