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HEATHER CARROLL COTA

Assisted Living, Mental Illness

Granger, Indiana

Provider NPI: 1346649688

Provider Information:
 HEATHER  CARROLL COTA


Practice Location:
430 E CLEVELAND RD  GRANGER, IN 46530 US
Tel: 574-271-3305  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness

Other Provider Identifiers:

IssuerNumberStateType
COTA32001597AIN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS IN - Page 1