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Nela LLC — NPI 1114340155, Deland, FL | NPI Central

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NPI 1114340155

OrganizationActive

Nela LLC

NPI 1114340155 · Mental Illness Community Based Residential Treatment Facility · Deland, FL

Provider details

NPI number: 1114340155
Entity type: Organization
Primary specialty: Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Jacek Dygdon, Owner(386) 734-4830
License: AL1077 (FL)

Specialties & taxonomies

Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense AL1077 (FL)
Residential Treatment Facilities

Practice location

647 S Woodland Blvd

Deland, FL 32720-5810

Phone: (386) 734-4830

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

647 S Woodland Blvd

Deland, FL 32720-5810

Other names (DBA / former)

Doing business as: Dixie Lodge

Registry dates

Enumerated: 2014-01-28
Last updated: 2014-01-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.