Provider Demographics
NPI:1235315094
Name:COZY CORNER INC.
Entity Type:Organization
Organization Name:COZY CORNER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CORPORATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GEBHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-542-5501
Mailing Address - Street 1:205 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57026-2125
Mailing Address - Country:US
Mailing Address - Phone:605-542-5501
Mailing Address - Fax:
Practice Address - Street 1:205 W 3RD ST
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:SD
Practice Address - Zip Code:57026-2125
Practice Address - Country:US
Practice Address - Phone:605-542-5501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility