# MILTAS PLACE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417255951
- **Authorized official:** MILDRED TASSY (ADMINISTRATOR)
- **Authorized official phone:** (305) 621-9143

## Contact information

- **Practice address:** 17320 NW 19TH AVE, MIAMI GARDENS, FL 33056-4812
- **Practice address phone:** (305) 621-9143
- **Practice address fax:** (305) 624-2440
- **Mailing address:** 17320 N.W. 19TH AVE., MIAMI GARDENS, FL 33056-4812
- **Mailing address phone:** (305) 621-9143
- **Mailing address fax:** (305) 624-2440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | FL | Yes |
| 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