# MARY ANN STANLEY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700260791
- **Authorized official:** MARY ANN STANLEY COTA (COTA)
- **Authorized official phone:** (794) 301-9923

## Contact information

- **Practice address:** 17130 KENTON DR, 316, CORNELIUS, NC 28031-5919
- **Practice address phone:** (794) 301-9923
- **Mailing address:** 17130 KENTON DR, 316, CORNELIUS, NC 28031-5919
- **Mailing address phone:** (794) 301-9923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 7944 | NC | Yes |

## Other

- **Enumeration date:** 07/20/2015
- **Last updated:** 07/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7944 | STATE IOF NC BOARD OF OCCUPTIONAL THERAPY | NC |