Individual provider · NPI-1

Mable Cooke

Case Manager/Care Coordinator · Plantation, FL

NPI number1114192887
StatusActive
Last updated in NPPESApr 24, 2008

Details

NPI
1114192887
Entity type
Individual (NPI-1)
Name
Mable Cooke
Sex
Female
Sole proprietor
No
Enumeration date
Apr 24, 2008
Last updated
Apr 24, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinatorc200545378670FLYes

Practice location

545 Sw 60th Ave
Plantation, FL 33317-3947

Phone 954-581-8671

Mailing address

545 Sw 60th Ave
Plantation, FL 33317-3947

Phone 954-581-8671

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