Organization
CANNON COTTAGE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELETA WILLIAMS (ADMINISTRATOR)
(909) 265-6081
Entity
Organization
Contact information
Practice address
15256 SUNCHASER ST, VICTORVILLE, CA 92394-7580
(909) 265-6081
Mailing address
599 N ARROWHEAD AVE UNIT 6, SAN BERNARDINO, CA 92401-1201
(909) 265-6081
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
07/23/2026
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