Organization
COTTAGE MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HILLARY L MORGAN ARNP (CEO/DIRECCTOR OF OPERATIONS)
(813) 474-2069
Entity
Organization
Contact information
Practice address
1706 COTTAGE OAKS CT, BRANDON, FL 33510
(813) 474-2069
Mailing address
1706 COTTAGE OAKS CT, BRANDON, FL 33510-2746
(813) 474-2069
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267078241
—
FL
Enumeration date
10/12/2016
Last updated
08/20/2018
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