Healthcare Provider Details

I. General information

NPI: 1952122558
Provider Name (Legal Business Name): MILK PLEASE LACTATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 ASHLEY CT
MYERSVILLE MD
21773-8417
US

IV. Provider business mailing address

99 ASHLEY CT
MYERSVILLE MD
21773-8417
US

V. Phone/Fax

Practice location:
  • Phone: 240-205-8080
  • Fax:
Mailing address:
  • Phone: 717-329-3124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA JEAN RANDOLPH
Title or Position: OWNER
Credential: BSN, RN, IBCLC
Phone: 402-205-8080