Healthcare Provider Details

I. General information

NPI: 1265298921
Provider Name (Legal Business Name): MILANN HEALTH CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 BINGHAM DR
MCDONOUGH GA
30253-8050
US

IV. Provider business mailing address

513 BINGHAM DR
MCDONOUGH GA
30253-8050
US

V. Phone/Fax

Practice location:
  • Phone: 404-988-9902
  • Fax:
Mailing address:
  • Phone: 404-988-9902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ANNIE FORD
Title or Position: CEO
Credential:
Phone: 702-849-1262