| NPI | 1669156709 |
|---|---|
| Doing Business As | TYCOON RESIDENTIAL BOARD AND CARE |
| Entity Type | Organization |
| Authorized Contact | YOLANDA P VILLANUEVA Administrator/Licensee 121-321-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-06-09 |