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Latoya Sophia Cooper
Home Health Agency in Port Wentworth, Georgia
NPI 1114454642

Latoya Sophia Cooper is a Home Health Agency based in Port Wentworth, GA. Latoya Sophia Cooper practices in Port Wentworth, GA. The NPI Number for Latoya Sophia Cooper is 1114454642 and holds a License No. 1100149310 (Georgia).

The current practice location address for Latoya Sophia Cooper is 300 Magnolia Blvd Apt 102, Port Wentworth, GA and can be reached out via phone at 912-429-4844.

Location: 300 Magnolia Blvd Apt 102, Port Wentworth, GA, 31407-3448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114454642
Provider Name
Latoya Sophia Cooper
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Magnolia Blvd Apt 102, Port Wentworth, GA, 31407-3448
Phone Number
912-429-4844
Fax Number
Provider Enumeration Date
05/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2600 05 GA
institution
Provider Business Practice Location Address Details
Address
300 Magnolia Blvd Apt 102
City
Port Wentworth
State
Georgia
Zip
31407-3448
Phone Number
912-429-4844
Fax Number
person
Provider Business Mailing Address Details
Address
300 Magnolia Blvd Apt 102
City
Port Wentworth
State
Georgia
Zip
31407-3448
Phone Number
912-429-4844
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1100149310 (Georgia)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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