Cotoneaster Incorporated
NPI #1609076850 in Caruthersville, Missouri
Provider Information
- NPI Number
- 1609076850
- Entity Type
- Organization
- Organization Name
- Cotoneaster Incorporated
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 24, 2007
- Last Updated
- Jul 24, 2007
Practice Location
- Address
- 509 WARD AVE
- City
- Caruthersville
- State
- Missouri
- ZIP Code
- 63830-1661
- Phone
- (573) 333-5777
Authorized Official
- Name
- MRS. PAULA ANN SMITH
- Title
- VICE PRESIDENT
- Phone
- (573) 333-5777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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