MEDICARE: MILO CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency		DC

General Provider Information

NPI Number	:	1023377546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILO CARE LLC

Provider Business Mailing Address
First Line	:	15301 MANOR VILLAGE LN
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20853-1834
Country	:	US
Telephone Number	:	301-728-2292
Fax Number	:	301-585-2271

Provider Business Practice Location Address
First Line	:	2308 COLERIDGE DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1113
Country	:	US
Telephone Number	:	301-728-2292
Fax Number	:	301-585-2271

Authorized Official
Title or Position	:	CEO
Name	:	JOYCE KRONER
Credential	:
Telephone Number	:	301-728-2292

Provider Enumeration Date	:	05/04/2012
Last Update Date	:	05/04/2012

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