| NPI | 1710690789 |
|---|---|
| Former Legal Business Name | TUCKER & TUCKER ALF |
| Entity Type | Organization |
| Authorized Contact | ROCHELLE TUCKER Manager 813-999-5037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |