Whalio Doctors

NPI 1144065368

Rosa Cooper

Practitioner Intellectual and/or Developmental Disabilities Residential Treatment Facility Decatur, AL

Practice location

Address
1508 15th Avenue SW, Decatur, AL 35601-5404
Phone
(256) 566-7170
Mailing address
1939 Red Sunset Drive, Decatur, AL 35603-4481

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X
Respite Care
Respite Care Facility Taxonomy 385H00000X

Registry record

NPI
1144065368
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Jun 2024
Record last updated
24 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.