| NPI | 1801236054 |
|---|---|
| Former Legal Business Name | TRACY BURR |
| Entity Type | Organization |
| Authorized Contact | TONYA LASHAWN BELL Owner/Administrator 813-764-1269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12220) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |