Individual provider · NPI-1

Grace H Cooper

Home Health · Port Charlotte, FL

NPI number1083543383
StatusActive
Last updated in NPPESMay 14, 2026

Details

NPI
1083543383
Entity type
Individual (NPI-1)
Name
Grace H Cooper
Sex
Female
Sole proprietor
Yes
Enumeration date
May 14, 2026
Certification date
May 14, 2026
Last updated
May 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

22091 Peachland Blvd
Port Charlotte, FL 33954-3352

Phone 646-220-6106 · Fax 941-621-4975

Mailing address

22091 Peachland Blvd
Port Charlotte, FL 33954-3352

Phone 646-220-6106 · Fax 941-621-4975

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