Organization
COTTAGE LANE HEALTH OPCO LLC
Active
Other names
Cottage Lane Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN DREIFUS (AUTHORIZED SIGNATORY)
(501) 961-8100
Entity
Organization
Contact information
Practice address
800 BROOKSIDE DR, LITTLE ROCK, AR 72205-1644
(501) 224-3940
(501) 224-6649
Mailing address
PO BOX 8250, SEARCY, AR 72145-8250
(501) 254-0007
(888) 866-9887
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
08/09/2023
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