| NPI | 1609048602 |
|---|---|
| Doing Business As | BURKE BLOSSOM MONICA |
| Entity Type | Organization |
| Authorized Contact | BLOSSOM MONICA BURKE Owner/Caregiver 813-684-3702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906191) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-09-22 |