Organization
AMEHAN TLC HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA HANVIVATPONG (OWNER)
(561) 843-1722
Entity
Organization
Contact information
Practice address
5170 SAINT JOHN AVE S, BOYNTON BEACH, FL 33472-1112
(561) 843-1722
Mailing address
16244 S MILITARY TRL STE 740, DELRAY BEACH, FL 33484-6532
(561) 843-1722
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/10/2022
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