# SUSANS VICTORIAN COTTAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Victorian Cottage Personal Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164633285
- **Authorized official:** MRS. SUSAN S MURPHY RN (OWNER ADMINISTRATOR)
- **Authorized official phone:** (724) 423-8706

## Contact information

- **Practice address:** 111 HYDRANGEA LANE, MOUNT PLEASANT, PA 15666-3648
- **Practice address phone:** (724) 424-8706
- **Practice address fax:** (724) 423-6238
- **Mailing address:** RR 5 BOX 64E (OLD ADDRESS BEFORE IT CHANGED), 111 HYDRANGEA LANE (NEW 911 EMS ADDRESS), MOUNT PLEASANT, PA 15666-3648
- **Mailing address phone:** (724) 424-8706
- **Mailing address fax:** (724) 423-6238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 001030 | PA | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020