Organization
AMWIL ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONIETTA BANCOLITA LLANES (BUSINESS MANAGER)
(954) 943-4606
Entity
Organization
Contact information
Practice address
840 SW 8TH ST, POMPANO BEACH, FL 33060-8214
(954) 943-4606
(954) 943-5016
Mailing address
840 SW 8TH ST, POMPANO BEACH, FL 33060-8214
(954) 943-4606
(954) 943-5016
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AL9975
FL
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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