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General NPI Number Information
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NPI Number | 1184217739
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Entity Type | Organization
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Legal Business Name | COTTAGES DECATUR, LLC
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Dates
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Enumeration Date | 02/15/2021
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 2515 OLD MOULTON RD SW
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City | DECATUR
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State | AL
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Zip | 35603-4409
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Country | US
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Telephone | 256-301-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 2515 OLD MOULTON RD SW
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City | DECATUR
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State | AL
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Zip | 35603-4409
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Country | US
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Telephone | 256-301-1800
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | CHERYL WESTLAKE
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Credential |
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Telephone | 256-929-7536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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