Healthcare Provider Details

I. General information

NPI: 1376005181
Provider Name (Legal Business Name): COTTONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 04/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 NORTHROP AVE
SACRAMENTO CA
95825-7408
US

IV. Provider business mailing address

4205 CINCINNATI AVE STE 100
ROCKLIN CA
95765-1413
US

V. Phone/Fax

Practice location:
  • Phone: 916-927-9300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MATT JACKSON
Title or Position: MANAGER
Credential:
Phone: 916-257-2564