Provider Demographics
NPI:1952666729
Name:CALHOUN, COCO
Entity Type:Individual
Prefix:
First Name:COCO
Middle Name:
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 THOMAS JEFFERSON ST NW
Mailing Address - Street 2:SUITE 180G
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-5201
Mailing Address - Country:US
Mailing Address - Phone:202-299-1109
Mailing Address - Fax:202-299-1108
Practice Address - Street 1:1025 THOMAS JEFFERSON ST NW
Practice Address - Street 2:SUITE 180G
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-5201
Practice Address - Country:US
Practice Address - Phone:202-299-1109
Practice Address - Fax:202-299-1108
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health