| Organization Name: | PROVIDER OF CO-OP SERVICES |
| NPI Number: | 1679701684 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHRYN LAURIE STEIN (OWNER) |
| Mailing Address: | 1467 Hark A Way Rd Chester Springs |
| State: | PA US |
| Postal Code: | 194252302 |
| Phone Number: | 6104535005 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2009 |
| NPI Last Update Date: | 02/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |