# TUCAWILLA VILLA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225499817
- **Authorized official:** JAMIE M HARRY RN/RD (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (407) 637-0273

## Contact information

- **Practice address:** 995 TUSCAWILLA ROAD, WINTER SPRINGS, FL 32708
- **Practice address phone:** (407) 637-0273
- **Mailing address:** 995 TUSCAWILLA ROAD, WINTER SPRINGS, FL 32708
- **Mailing address phone:** (407) 637-0273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906719 | FL | Yes |

## Other

- **Enumeration date:** 03/10/2016
- **Last updated:** 03/10/2016