Organization
COTTONWOOD INN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE HUMISTON (PRESIDENT)
(970) 516-1404
Entity
Organization
Contact information
Practice address
450 PROSPECTOR AVE, DURANGO, CO 81301
(970) 516-1404
(970) 516-1400
Mailing address
1004 E MAIN ST, CORTEZ, CO 81321-3326
(970) 516-1404
(970) 516-1400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87181762
—
CO
Enumeration date
03/14/2013
Last updated
01/12/2016
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