Organization
CHRISTIAN CARE COTTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN SUE RANDEL (OPERATOR)
(785) 242-6059
Entity
Organization
Contact information
Practice address
415 S POPLAR ST, OTTAWA, KS 66067-2438
(785) 242-6383
(785) 242-6059
Mailing address
415 S POPLAR ST, OTTAWA, KS 66067-2438
(785) 242-6383
(785) 242-6059
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
23-21195-021
KS
Other
Enumeration date
06/03/2008
Last updated
03/15/2013
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