NPI 1659022234
Cotton Field Assisting Living
Practice location
- Address
- 6638 S 57th Ave, Laveen, AZ 85339-2254
- Phone
- (602) 705-8051
Authorised official
- Name
- Brandon Ward
- Title
- Administrator
- Phone
- (602) 705-8051
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Assisted Living Facility (Behavioral Disturbances)
Registry record
- NPI
- 1659022234
- Entity type
- Organization
- NPI issued
- 14 Jan 2022
- Record last updated
- 20 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.