Organization
MAMA LLAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY YIFTACH (OWNER)
(305) 815-7339
Entity
Organization
Contact information
Practice address
1074 HYACINTH PL, WELLINGTON, FL 33414-2144
(561) 333-4179
(561) 331-2513
Mailing address
500 WESTOVER DR STE 81356, C/O GUY YIFTACH, SANFORD, NC 27330
(305) 815-7339
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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