Provider Demographics
NPI:1962689760
Name:MILA INCORPORATED
Entity Type:Organization
Organization Name:MILA INCORPORATED
Other - Org Name:ACCESS MICHIGAN MOBILITY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-705-2669
Mailing Address - Street 1:PO BOX 1947
Mailing Address - Street 2:1996 S. OTSEGO AVE
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49734-5947
Mailing Address - Country:US
Mailing Address - Phone:989-705-2669
Mailing Address - Fax:989-705-2608
Practice Address - Street 1:1996 S OTSEGO AVE
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-8381
Practice Address - Country:US
Practice Address - Phone:989-705-2669
Practice Address - Fax:989-705-2608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3118873Medicaid
MI0861470001Medicare NSC