Provider Demographics
NPI:1699507871
Name:ALLEN COOPER ENTERPRISE
Entity type:Organization
Organization Name:ALLEN COOPER ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN-COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-566-7170
Mailing Address - Street 1:1939 RED SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-4481
Mailing Address - Country:US
Mailing Address - Phone:256-566-7170
Mailing Address - Fax:
Practice Address - Street 1:1508 15TH AVE SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-5404
Practice Address - Country:US
Practice Address - Phone:256-566-7170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care