Maricela Ann Cooper

Individual provider Active NPI Home Health Aide · Central Point, OR

NPI 1609557339 · NPPES record last updated Jul 26, 2023

Key facts

NPI
1609557339
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
1011 Coachman Dr
Central Point, OR 97502-4812
Phone
(541) 621-0595
NPI assigned
Jul 26, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

1011 Coachman Dr
Central Point, OR 97502-4812

Mailing address

1011 Coachman Dr
Central Point, OR 97502-4812
Phone (541) 621-0595

Other providers in Central Point, OR

All providers in Central Point, OR · Home Health Aide in Oregon

Sources for this page

Verify at the official NPI Registry.