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Organization
COTTONWOOD CREEK MSL, LLC
Active
Organization
COTTONWOOD CREEK MSL, LLC
Active
Other names
Cottonwood Creek
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARY SIMON (SENIOR VICE PRESIDENT AND CFO)
(949) 242-1400
Entity
Organization
Contact information
Practice address
1245 MURRAY HOLLADAY RD, SALT LAKE CITY, UT 84117-4992
(801) 263-0999
(801) 262-4770
Mailing address
175 TECHNOLOGY DR, STE 200, IRVINE, CA 92618-2478
(949) 242-1400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2011-ALI-88423
UT
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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