South Capitol Cottage INC
NPI #1912050956 in Adelanto, California
Provider Information
- NPI Number
- 1912050956
- Entity Type
- Organization
- Organization Name
- South Capitol Cottage INC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jan 21, 2007
- Last Updated
- Sep 1, 2015
Practice Location
- Address
- 15054 DAISY RD
- City
- Adelanto
- State
- California
- ZIP Code
- 92301-4824
- Phone
- (951) 662-3026
Authorized Official
- Name
- MISS CAROL FRAZIER, LVN
- Title
- PRESIDENT
- Phone
- (951) 662-3026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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