Organization
COTTONWOOD CREEK MSL, LLC
Active
Other names
Cottonwood Creek
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARY SIMON (SENIOR VICE PRESIDENT AND CFO)
(949) 242-1400
Entity
Organization
Contact information
Practice address
1245 MURRAY HOLLADAY RD, SALT LAKE CITY, UT 84117-4992
(801) 263-0999
(801) 262-4770
Mailing address
175 TECHNOLOGY DR, STE 200, IRVINE, CA 92618-2478
(949) 242-1400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2011-ALI-88423
UT
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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