NPI | 1104563428 |
---|---|
Doing Business As | COTTAGE LANE HEALTH AND REHAB |
Entity Type | Organization |
Authorized Contact | ETHAN DREIFUS Authorized Signatory 501-961-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2022-05-18 |
Last Update Date | 2023-08-09 |