MEDICARE: MILY HOME CARE CORP

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	3104A0625X	Assisted Living Facility (Mental Illness)	AL10641	FL

General Provider Information

NPI Number	:	1659586816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILY HOME CARE CORP

Provider Business Mailing Address
First Line	:	17810 SW 137TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-6400
Country	:	US
Telephone Number	:	305-968-2270
Fax Number	:

Provider Business Practice Location Address
First Line	:	17810 SW 137TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-6400
Country	:	US
Telephone Number	:	305-968-2270
Fax Number	:

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	MR. ALDO MORALES
Credential	:
Telephone Number	:	305-968-2270

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	08/22/2020

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Directions to “MILY HOME CARE CORP ” Practice Location

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