Whalio Doctors

NPI 1114340155

Nela LLC

Organisation Mental Illness Community Based Residential Treatment Facility Deland, FL

Practice location

Address
647 S Woodland Blvd, Deland, FL 32720-5810
Phone
(386) 734-4830

Authorised official

Name
Jacek Dygdon
Title
Owner
Phone
(386) 734-4830

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence AL1077 (FL)

Registry record

NPI
1114340155
Entity type
Organization
NPI issued
28 Jan 2014
Record last updated
28 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.