Organization
BURKEBLOSSOM MONICA
Active
Other names
burke blossom monica
Organization subpart
No
Provider details
NPI number
Authorized official
BLOSSOM MONICA BURKE N/A (OWNER/CAREGIVER)
(813) 684-3702
Entity
Organization
Contact information
Practice address
907 N TAYLOR RD, BRANDON, FL 33510-3121
(813) 684-3702
(813) 684-3702
Mailing address
907 N TAYLOR RD, BRANDON, FL 33510-3121
(813) 684-3702
(813) 684-3702
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906191
FL
Other
Enumeration date
03/31/2008
Last updated
09/22/2008
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