# A PLACE FOR MIMI LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ania Telleria Adult Family Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720971567
- **Authorized official:** ANIA TELLERIA (OWNER)
- **Authorized official phone:** (407) 535-1408

## Contact information

- **Practice address:** 15267 PERDIDO DR, ORLANDO, FL 32828-5232
- **Practice address phone:** (321) 413-7105
- **Mailing address:** 15267 PERDIDO DR, ORLANDO, FL 32828-5232
- **Mailing address phone:** (321) 413-7105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/30/2025
- **Last updated:** 05/30/2025