Organization
MOUNTAIN HIGH ASSISTED LIVING FACILITY
Active
Other names
Tracy Burr
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA LASHAWN BELL (OWNER/ADMINISTRATOR)
(813) 764-1269
Entity
Organization
Contact information
Practice address
3906 E CURTIS ST, TAMPA, FL 33610-6634
(813) 402-2116
(813) 442-4463
Mailing address
3906 E CURTIS ST, TAMPA, FL 33610-6634
(813) 402-2116
(813) 442-4463
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002334200
—
FL
Enumeration date
07/02/2013
Last updated
07/02/2013
Update your record
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