Organization
AMARYLLIS MANAGED CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YASMINE DOMINIQUE (MGR)
(561) 316-6576
Entity
Organization
Contact information
Practice address
1897 PALM BEACH LAKES BLVD STE 208, WEST PALM BEACH, FL 33409
(561) 814-7505
Mailing address
1897 PALM BEACH LAKES BLVD STE 208, WEST PALM BEACH, FL 33409-3508
(561) 814-7505
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/13/2015
Last updated
08/08/2018
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