Provider Demographics
NPI:1679921480
Name:CEDAR COTTAGE AFCH
Entity Type:Organization
Organization Name:CEDAR COTTAGE AFCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:SONORITA
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-789-8054
Mailing Address - Street 1:11 CEDAR WAY
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-2828
Mailing Address - Country:US
Mailing Address - Phone:352-789-8054
Mailing Address - Fax:352-789-8054
Practice Address - Street 1:11 CEDAR WAY
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-2828
Practice Address - Country:US
Practice Address - Phone:352-789-8054
Practice Address - Fax:352-789-8054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6906809311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home