Tucawilla Villa, LLC
NPI #1225499817 in Winter Springs, Florida
Provider Information
- NPI Number
- 1225499817
- Entity Type
- Organization
- Organization Name
- Tucawilla Villa, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Mar 10, 2016
- Last Updated
- Mar 10, 2016
Practice Location
- Address
- 995 TUSCAWILLA ROAD
- City
- Winter Springs
- State
- Florida
- ZIP Code
- 32708
- Phone
- (407) 637-0273
Authorized Official
- Name
- JAMIE M HARRY, RN/RD
- Title
- OWNER/ADMINISTRATOR
- Phone
- (407) 637-0273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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