Organization
ILANAS RECOVERY AND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEVEN YIFRU (PRESIDENT)
(214) 306-3362
Entity
Organization
Contact information
Practice address
9535 FOREST LN STE 119, DALLAS, TX 75243-6120
(214) 306-3362
Mailing address
9535 FOREST LN STE 119, DALLAS, TX 75243-6120
(214) 306-3362
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
315D00000X
Inpatient Hospice
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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