Individual provider · Type 1 NPI

Dominique Cooney

Adult Care Home Facility · Atlanta, GA

NPI number 1629891528 Active

Practice location

8735 Dunwoody Pl # 6442
Atlanta, GA 30350-2995

Mailing address

1328 Bass Ln
Mcdonough, GA 30253-4115

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1629891528

Dominique Cooney's National Provider Identifier is 1629891528, issued on Nov 7, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Atlanta, GA. The record was last updated on Nov 7, 2024.