MEDICARE: MILOH FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1326670076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILOH FOUNDATION

Provider Business Mailing Address
First Line	:	6307 NORTHCLIFF AVE
Second Line	:
City	:	BROOKLYN
State	:	OH
Zip	:	44144-4040
Country	:	US
Telephone Number	:	216-233-6524
Fax Number	:

Provider Business Practice Location Address
First Line	:	6307 NORTHCLIFF AVE
Second Line	:
City	:	BROOKLYN
State	:	OH
Zip	:	44144-4040
Country	:	US
Telephone Number	:	216-233-6524
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRIGID M HOPKINS
Credential	:
Telephone Number	:	216-233-6524

Provider Enumeration Date	:	02/11/2020
Last Update Date	:	02/26/2020

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Directions to “MILOH FOUNDATION ” Practice Location

Language	Start Address	Practice Location

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