Organization
VILLA LYAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO L MENENDEZ (PRESIDENT)
(786) 206-3928
Entity
Organization
Contact information
Practice address
18950 SW 106TH AVE, SUITE 119, MIAMI, FL 33157
(786) 206-3928
(786) 724-1404
Mailing address
18950 SW 106 AVE, SUITE 119, MIAMI, FL 33157
(786) 206-3928
(786) 724-1404
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225A00000X
Music Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012176200
—
FL
Enumeration date
04/27/2009
Last updated
12/20/2021
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