Organization
COTTONWOOD MANOR II
Active
Other names
magnolia Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULETTE BUTLER PHD (OWNER)
(601) 732-8473
Entity
Organization
Contact information
Practice address
410 E FIRST ST, FOREST, MS 39074-4204
(601) 469-4389
Mailing address
41 SOUTH HALL RD, 410 EAST FIRST STREET, MORTON, MS 39117
(601) 732-8473
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
954
MS
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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