Organization
AMANDA CHAMBERS
Active
Other names
Mara Adult Family Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CHAMBERS (PROVIDER)
(941) 249-2390
Entity
Organization
Contact information
Practice address
4817 ITALY AVE, NORTH PORT, FL 34288-8103
(941) 249-2390
Mailing address
4817 ITALY AVE, NORTH PORT, FL 34288-8103
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906701
FL
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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