Phs/ Cottage Grove
NPI #1164848362 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1164848362
- Entity Type
- Organization
- Organization Name
- Phs/ Cottage Grove
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 12, 2014
- Last Updated
- Nov 11, 2025
Practice Location
- Address
- 8200 HADLEY AVE S
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-2697
- Phone
- (651) 769-6600
Authorized Official
- Name
- MR. MARK MEYER
- Title
- CFO
- Phone
- (651) 631-6102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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