Provider Demographics
NPI:1700199247
Name:MC MILLAN'S HOME CARE AGENCY, INC
Entity Type:Organization
Organization Name:MC MILLAN'S HOME CARE AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MC MILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-992-9785
Mailing Address - Street 1:1335 W TABOR RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3038
Mailing Address - Country:US
Mailing Address - Phone:215-992-9785
Mailing Address - Fax:215-814-8907
Practice Address - Street 1:1430 PITKIN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-5110
Practice Address - Country:US
Practice Address - Phone:215-992-9785
Practice Address - Fax:215-814-8907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health