Mila Alf, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL1077 Issued in FL

Legal business name

MILA ALF, LLC

Practice address

647 S Woodland Blvd
Deland, FL 32720-5810

Phone

(386) 734-4830

NPI assigned

Jun 11, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeff Yuzefpolsky

Title

Ceo

Phone

(786) 325-1963

Specialties & licenses 1

Addresses

Other names 1

• DIXIE LODGE ASSISTED LIVING FACILITY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1366823734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17555 COLLINS AVE.,",
            "address_2": "SUITE 1808",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602888",
            "telephone_number": "786-325-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205810",
            "telephone_number": "386-734-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILA ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "YUZEFPOLSKY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-325-1963"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL1077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIXIE LODGE ASSISTED LIVING FACILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Deland, FL
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.