Organization
COUNTRY COTTAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZETTE MIDDLETON (ADMINSTRATIVE DIRECTOR)
(435) 673-2211
Entity
Organization
Contact information
Practice address
1240 E 100 S STE 202, ST GEORGE, UT 84790-3077
(435) 673-2211
(435) 673-1241
Mailing address
1240 E 100 S #202, ST. GEORGE, UT 84790
(435) 673-2211
(435) 673-1241
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1312147-0140
UT
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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