Organization
CSL COTTONWOOD LLC
Active
Parent organization
CAPITAL SENIOR LIVING PROPERTIES 4, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITAL SENIOR LIVING PROPERTIES 4, INC.
Authorized official
MONICA VIGIL (MEDICAID BILLING COORDINATOR)
(972) 308-8354
Entity
Organization
Contact information
Practice address
201 E MINGUS AVE, COTTONWOOD, AZ 86326-3677
(928) 634-4229
(928) 634-5621
Mailing address
201 E MINGUS AVE, COTTONWOOD, AZ 86326-3677
(928) 634-4229
(928) 634-5621
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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