David Levi Jylha
Custodial Care Facility, Adult Care Home in Negaunee, MI. Individual provider (NPI-1).
NPI number1508352121
StatusActive
Last updated in NPPESJul 6, 2018
Details
- NPI
- 1508352121
- Entity type
- Individual (NPI-1)
- Name
- David Levi Jylha
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2018
- Last updated
- Jul 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | AF520338326 | MI | Yes |
Practice location
225 County Rd 480Negaunee, MI 49866
Phone 906-401-0030
Mailing address
225 County Rd 480Negaunee, MI 49866
Phone 906-401-0030
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