JALESSA COOPWOOD
Individual Provider (NPI-1)
Active
Home Health
Provider Information
- NPI Number
1225853435- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 81 TRUMAN ST, NEW HAVEN, CT, 065192013
- Phone
- (475) 339-9968
Specialties & Taxonomies
Home Health
Primary License: CT #163WH0200X