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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