Healthcare Provider Details

I. General information

NPI: 1124304225
Provider Name (Legal Business Name): MIL ENTERPRISES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2011
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1417 DELTA DR
EL PASO TX
79901-3119
US

IV. Provider business mailing address

1417 DELTA DR
EL PASO TX
79901-3119
US

V. Phone/Fax

Practice location:
  • Phone: 915-328-0447
  • Fax: 915-585-4565
Mailing address:
  • Phone: 915-328-0447
  • Fax: 915-585-4565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. GLORIA NARES
Title or Position: PRESIDENT
Credential: RN
Phone: 915-328-0447