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Organization
MILTAS PLACE INC.
Active
Organization
MILTAS PLACE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED TASSY (ADMINISTRATOR)
(305) 621-9143
Entity
Organization
Contact information
Practice address
17320 NW 19TH AVE, MIAMI GARDENS, FL 33056-4812
(305) 621-9143
(305) 624-2440
Mailing address
17320 N.W. 19TH AVE., MIAMI GARDENS, FL 33056-4812
(305) 621-9143
(305) 624-2440
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
FL
385HR2050X
Respite Care Camp
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
03/08/2011
Last updated
02/01/2013
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