Provider Demographics
NPI:1710598453
Name:MILORD, WESLING
Entity Type:Individual
Prefix:
First Name:WESLING
Middle Name:
Last Name:MILORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 COVENTRY POINTE WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-4916
Mailing Address - Country:US
Mailing Address - Phone:561-229-8564
Mailing Address - Fax:561-420-0072
Practice Address - Street 1:4401 COVENTRY POINTE WAY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-4916
Practice Address - Country:US
Practice Address - Phone:561-229-8564
Practice Address - Fax:561-420-0072
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-15
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No372600000XNursing Service Related ProvidersAdult Companion