Organization
MILENIA ODS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FLACK (DIRECTOR OF OPERATIONS)
(516) 537-4913
Entity
Organization
Contact information
Practice address
2 SIENNA WAY, LAKEWOOD, NJ 08701-2148
(516) 537-4913
Mailing address
PO BOX 453, WOODBURY, NY 11797-0453
(516) 537-4913
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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