Organization
MAMA LLLAMA LLC, MG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON UNDERWOOD (ADMINISTRATOR)
(561) 333-4179
Entity
Organization
Contact information
Practice address
13931 MORNING GLORY DR, WELLINGTON, FL 33414-8645
(561) 333-4179
(561) 331-2513
Mailing address
1074 HYACINTH PL, WELLINGTON, FL 33414-2144
(561) 333-4179
(561) 331-2513
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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