Organization
COTTAGE GLEN OPERATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN E BAILEY (OWNER)
(435) 770-2157
Entity
Organization
Contact information
Practice address
1892 N AARON DR, TOOELE, UT 84074-8105
(435) 882-7990
Mailing address
565 W 465 N STE 150, PROVIDENCE, UT 84332-4803
(435) 770-2157
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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