Organization
COTTONWOOD SHELTER HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT D BAGLEY (OWNER)
(208) 717-7179
Entity
Organization
Contact information
Practice address
210 FOSTER AVE, COTTONWOOD, ID 83522-5022
(208) 717-7179
(208) 798-1508
Mailing address
2706 GRELLE AVE, LEWISTON, ID 83501-9742
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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