Provider Demographics
NPI:1497369763
Name:AMIABILITYCARE LLC
Entity Type:Organization
Organization Name:AMIABILITYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINITRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ETIENNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-332-3378
Mailing Address - Street 1:1040 CORAL RIDGE DR APT 104
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-4152
Mailing Address - Country:US
Mailing Address - Phone:754-332-3378
Mailing Address - Fax:
Practice Address - Street 1:1040 CORAL RIDGE DR APT 104
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-4152
Practice Address - Country:US
Practice Address - Phone:754-332-3378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care