Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MILESTONE GERIATRIC DAY CARE, INC
Active
Organization
MILESTONE GERIATRIC DAY CARE, INC
Active
Other names
Milestone Behavior Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY LUEEL IRVING (DIRECTOR)
(817) 429-2290
Entity
Organization
Contact information
Practice address
2516 OAKLAND BLVD, SUITE 3, FORT WORTH, TX 76103-3201
(817) 429-2290
(814) 492-9098
Mailing address
2516 OAKLAND BLVD, SUITE 3, FORT WORTH, TX 76103-3203
(817) 429-2290
(814) 492-9098
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153822502
—
TX
Enumeration date
07/11/2006
Last updated
05/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up