Provider Demographics
NPI:1659693596
Name:YELI THERAPY CENTER INC
Entity Type:Organization
Organization Name:YELI THERAPY CENTER INC
Other - Org Name:YELI THERAPY CENTER INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ONAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-648-0360
Mailing Address - Street 1:4530 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2307
Mailing Address - Country:US
Mailing Address - Phone:305-648-0360
Mailing Address - Fax:305-648-0361
Practice Address - Street 1:4530 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2307
Practice Address - Country:US
Practice Address - Phone:305-648-0360
Practice Address - Fax:305-648-0361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-19
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104816600Medicaid