Provider Demographics
NPI:1841422508
Name:MAURICE G. COGLE, LLC
Entity Type:Organization
Organization Name:MAURICE G. COGLE, LLC
Other - Org Name:COGLE'S REHAB STAFFING SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:COGLE
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:561-628-3154
Mailing Address - Street 1:1928 COMMERCE LN
Mailing Address - Street 2:SUITE #3
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5598
Mailing Address - Country:US
Mailing Address - Phone:561-628-3154
Mailing Address - Fax:561-776-9580
Practice Address - Street 1:1928 COMMERCE LN
Practice Address - Street 2:SUITE #3
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5598
Practice Address - Country:US
Practice Address - Phone:561-628-3154
Practice Address - Fax:561-776-9580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
APPLIED FOR332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies