# MIMILISA INC.

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

## Provider details

- **NPI number:** 1821437690
- **Authorized official:** MS. MELISSA TANIS (CEO)
- **Authorized official phone:** (407) 271-3701

## Contact information

- **Practice address:** 5412 SAINT JOSEPH BLVD, ORLANDO, FL 32818-1252
- **Practice address phone:** (407) 271-3701
- **Mailing address:** 5412 SAINT JOSEPH BLVD, ORLANDO, FL 32818-1252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/14/2013
- **Last updated:** 06/14/2013