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Organization
MILA ALF, LLC
Active
Organization
MILA ALF, LLC
Active
Other names
DIXIE LODGE ASSISTED LIVING FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF YUZEFPOLSKY (CEO)
(786) 325-1963
Entity
Organization
Contact information
Practice address
647 S WOODLAND BLVD, DELAND, FL 32720-5810
(386) 734-4830
Mailing address
17555 COLLINS AVE.,, SUITE 1808, SUNNY ISLES BEACH, FL 33160-2888
(786) 325-1963
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL1077
FL
Other
Enumeration date
06/11/2015
Last updated
06/30/2015
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