Healthcare Provider Details

I. General information

NPI: 1821105933
Provider Name (Legal Business Name): PK MILLS AND COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 FRANKLIN AVENUE SUITE 1
TORONTO OH
43964-1153
US

IV. Provider business mailing address

1003 FRANKLIN AVENUE SUITE 1
TORONTO OH
43964-1153
US

V. Phone/Fax

Practice location:
  • Phone: 740-537-1175
  • Fax: 740-537-1992
Mailing address:
  • Phone: 740-537-1175
  • Fax: 740-537-1992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN JOSEPH MILLS
Title or Position: VICE PRESIDENT OPERATIONS
Credential: LNHA
Phone: 740-537-1175