Healthcare Provider Details
I. General information
NPI: 1891923728
Provider Name (Legal Business Name): MILTON'S SITTINGS & HEALTH CARE SERVICE'S
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2009
Last Update Date: 06/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1607 MARTIN LUHER KING JR DR
GREENSBORO NC
27406-2423
US
IV. Provider business mailing address
1607 MARTIN LUTHER KING JR DR
GREENSBORO NC
27406-2423
US
V. Phone/Fax
- Phone: 336-338-4273
- Fax: 336-279-1192
- Phone: 336-338-4273
- Fax: 336-279-1192
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | 2481504 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | 2481504 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MR.
HOWARD
KILROY
MILTON
JR.
Title or Position: OWNER
Credential:
Phone: 336-338-4273