Provider Demographics
NPI:1659128072
Name:MILTON, SHEILA
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:MILTON
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 1:753 WASHINGTON ST STE 5
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-2981
Mailing Address - Country:US
Mailing Address - Phone:833-747-3268
Mailing Address - Fax:617-927-9487
Practice Address - Street 1:753 WASHINGTON ST STE 5
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-2980
Practice Address - Country:US
Practice Address - Phone:833-747-3268
Practice Address - Fax:617-927-9487
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency