Provider Demographics
NPI:1043800485
Name:MILIAN THERAPY SERVICES INC
Entity Type:Organization
Organization Name:MILIAN THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILIAN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:786-752-1153
Mailing Address - Street 1:28601 SW 147TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-1505
Mailing Address - Country:US
Mailing Address - Phone:786-752-1153
Mailing Address - Fax:
Practice Address - Street 1:28601 SW 147TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-1505
Practice Address - Country:US
Practice Address - Phone:786-752-1153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center