| NPI | 1285685362 |
|---|---|
| Doing Business As | COTTAGE OF THE SHOALS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. BERG Assistant Secretary 505-468-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 16644) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2017-03-30 |