Organization
COTTON FIELD ASSISTING LIVING
Active
Other names
COTTON FIELD
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WARD (ADMINISTRATOR)
(602) 705-8051
Entity
Organization
Contact information
Practice address
6638 S 57TH AVE, LAVEEN, AZ 85339-2254
(602) 705-8051
Mailing address
6638 S 57TH AVE, LAVEEN, AZ 85339-2254
(602) 705-8051
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/20/2022
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