Provider Demographics
NPI:1093449803
Name:MILESTONZ LLC
Entity Type:Organization
Organization Name:MILESTONZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:RAECHELLE
Authorized Official - Middle Name:CARLETT
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-569-3231
Mailing Address - Street 1:9434 DOCHFOUR LN
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-1167
Mailing Address - Country:US
Mailing Address - Phone:713-569-3231
Mailing Address - Fax:
Practice Address - Street 1:9434 DOCHFOUR LN
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-1167
Practice Address - Country:US
Practice Address - Phone:713-569-3231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities