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COTTONWOOD CREEK MSL LLC NPI 1578850590


NPI Information

NPI: 1578850590
Provider Name: COTTONWOOD CREEK MSL, LLC

Doing Business As: COTTONWOOD CREEK

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 46D2196706

Address:
1245 MURRAY HOLLADAY RD
SALT LAKE CITY, UT
ZIP 84117
Phone: (801) 263-0999
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COTTONWOOD CREEK MSL, LLC is an assisted living facility in Salt Lake City, UT. 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 CREEK MSL, LLC NPI is 1578850590. The provider is registered as an organization entity type.
The provider Is Doing Business As Cottonwood Creek.

The provider's business location address is:

1245 MURRAY HOLLADAY RD
SALT LAKE CITY, UT
ZIP 84117-992
Phone: (801) 263-0999
Fax: (801) 262-4770

The provider's authorized official is Lary Simon .
The authorized official title is Senior Vice President And Cfo and has the following contact phone number (949) 242-1400.

The CLIA number assigned to this NPI record is 46D2196706 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2011 and was last updated on 6/29/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility2011-ALI-88423UTAHYes

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: 4/28/2024

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