# MILENIA ODS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164998282
- **Authorized official:** MELISSA FLACK (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (516) 537-4913

## Contact information

- **Practice address:** 2 SIENNA WAY, LAKEWOOD, NJ 08701-2148
- **Practice address phone:** (516) 537-4913
- **Mailing address:** PO BOX 453, WOODBURY, NY 11797-0453
- **Mailing address phone:** (516) 537-4913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2018
- **Last updated:** 10/16/2018