Provider Demographics
NPI:1144594490
Name:MILLAN HEALTHCARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:MILLAN HEALTHCARE SOLUTIONS, LLC
Other - Org Name:101 MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:MILLAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:585-690-0757
Mailing Address - Street 1:110 RADFORD WAY
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-3383
Mailing Address - Country:US
Mailing Address - Phone:585-690-0757
Mailing Address - Fax:566-860-1062
Practice Address - Street 1:1249 RIDGEWAY AVE
Practice Address - Street 2:SUITE Z
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14615
Practice Address - Country:US
Practice Address - Phone:585-690-0757
Practice Address - Fax:866-860-1062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies