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Organization

THE MILTON HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY MILTON (PROVIDER/PCA)
(651) 769-2286
Entity
Organization

Contact information

Practice address
1305 6TH ST, ST PAUL PARK, MN 55071-1640
(651) 769-2286
(651) 769-2286
Mailing address
1305 6TH ST, ST PAUL PARK, MN 55071-1640
(651) 769-2286
(651) 769-2286

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
10546792AFC
MN

Other

Enumeration date
10/09/2009
Last updated
10/09/2009
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