Organization
MILESTONE HARBOR CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEENAN HOBBS (CHIEF EXECUTIVE OFFICER)
(561) 735-1376
Entity
Organization
Contact information
Practice address
441 W BLUE HERON BLVD STE 101, RIVIERA BEACH, FL 33404-4459
(561) 818-5780
(561) 228-5964
Mailing address
PO BOX 32294, PALM BEACH GARDENS, FL 33420-2294
(561) 818-5780
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
11/05/2018
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