Organization
AMBER PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIA ANGELLA WELLINGTON (ADMINISTRATOR)
(352) 489-6444
Entity
Organization
Contact information
Practice address
2365 W AMBER PL, CITRUS SPRINGS, FL 34434-4006
(352) 489-6444
(352) 489-6444
Mailing address
2365 W AMBER PL, CITRUS SPRINGS, FL 34434-4006
(352) 489-6444
(352) 489-6444
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AL11222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692012896
—
FL
Enumeration date
12/06/2010
Last updated
12/06/2010
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