# CORNERSTONE COTTAGE INC

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

## Provider details

- **NPI number:** 1992194757
- **Authorized official:** CYNTHIA DAWN ROGERS RN (ADMINISTRATOR)
- **Authorized official phone:** (509) 671-1729

## Contact information

- **Practice address:** 12322 N RUBY RD, PMB \#236, SPOKANE, WA 99218-3606
- **Practice address phone:** (509) 671-6274
- **Mailing address:** 12128 N DIVISION ST, PMB \#236, SPOKANE, WA 99218-1905
- **Mailing address phone:** (509) 671-6274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 751079 | WA | Yes |

## Other

- **Enumeration date:** 01/16/2015
- **Last updated:** 01/16/2015