# COTTAGE MANOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215487434
- **Authorized official:** MRS. HILLARY L MORGAN ARNP (CEO/DIRECCTOR OF OPERATIONS)
- **Authorized official phone:** (813) 474-2069

## Contact information

- **Practice address:** 1706 COTTAGE OAKS CT, BRANDON, FL 33510
- **Practice address phone:** (813) 474-2069
- **Mailing address:** 1706 COTTAGE OAKS CT, BRANDON, FL 33510-2746
- **Mailing address phone:** (813) 474-2069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2016
- **Last updated:** 08/20/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0267078241 | — | FL |