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COTTONWOOD MANOR II NPI 1417127895


NPI Information

NPI: 1417127895
Provider Name: COTTONWOOD MANOR II

Doing Business As: MAGNOLIA MANOR

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
410 E FIRST ST
FOREST, MS
ZIP 39074
Phone: (601) 469-4389
Get Directions

COTTONWOOD MANOR II is an assisted living facility in Forest, MS. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COTTONWOOD MANOR II NPI is 1417127895. The provider is registered as an organization entity type.
The provider Is Doing Business As Magnolia Manor.

The provider's business location address is:

410 E FIRST ST
FOREST, MS
ZIP 39074-204
Phone: (601) 469-4389

The provider's authorized official is Paulette Butler .
The authorized official title is Owner and has the following contact phone number (601) 732-8473.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 3/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility954MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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