Provider Demographics
NPI:1437731262
Name:MILLENNIUM HEALTH SERVICES
Entity Type:Organization
Organization Name:MILLENNIUM HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MGR
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUSSAINT-PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-420-5485
Mailing Address - Street 1:11439 SILK CARNATION WAY
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4200
Mailing Address - Country:US
Mailing Address - Phone:561-420-5485
Mailing Address - Fax:
Practice Address - Street 1:11439 SILK CARNATION WAY
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4200
Practice Address - Country:US
Practice Address - Phone:561-420-5485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health