Organization
MILESTONE REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELENA PLATONOVA (DIRECTOR OF FINANCE)
(215) 464-3838
Entity
Organization
Contact information
Practice address
1701 GRANT AVENUE, PHILADELPHIA, PA 19115-3160
(215) 856-7623
(215) 969-2736
Mailing address
1701 GRANT AVENUE, PHILADELPHIA, PA 19115-3160
(215) 856-7623
(215) 969-2736
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
807427
PA
261Q00000X
Clinic/Center
Primary
—
—
261QM2800X
Methadone Clinic
807427
PA
261QM2800X
Methadone Clinic
—
—
Other
Enumeration date
10/12/2012
Last updated
12/23/2019
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