David Levi Jylha

Individual provider Active NPI Adult Care Home Facility · Negaunee, MI

NPI 1508352121 · NPPES record last updated Jul 6, 2018

Key facts

NPI
1508352121
Entity type
Individual (NPI type 1)
Primary specialty
Adult Care Home Facility 311ZA0620X
License
AF520338326 (MI)
Practice address
225 County Rd 480
Negaunee, MI 49866
Phone
(906) 401-0030
NPI assigned
Jul 6, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AF520338326MIMDAdult Care Home Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AF520338326 MI Yes

Addresses

Primary practice location

225 County Rd 480
Negaunee, MI 49866

Mailing address

225 County Rd 480
Negaunee, MI 49866
Phone (906) 401-0030

Other providers in Negaunee, MI

All providers in Negaunee, MI · Adult Care Home Facility in Michigan

Sources for this page

Verify at the official NPI Registry.