Organization
COTTONWOOD VILLAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C COOKE (PRESIDENT)
(843) 759-0025
Entity
Organization
Contact information
Practice address
800 W CHURCH ST, BISHOPVILLE, SC 29010-1054
(803) 484-5303
Mailing address
800 W CHURCH ST, BISHOPVILLE, SC 29010-1054
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC1186
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC1186
—
SC
Enumeration date
09/26/2007
Last updated
09/26/2007
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