Organization
AMENITY RESIDENTIAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA TATE (CEO)
(614) 329-8324
Entity
Organization
Contact information
Practice address
5370 CHAMPAGNE CIR, ORLANDO, FL 32808-2860
(614) 329-8324
Mailing address
5370 CHAMPAGNE CIR, ORLANDO, FL 32808-2860
(614) 329-8324
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
12/29/2023
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