MEDICARE: MIL ENTERPRISES INC.

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	261QA0600X	Adult Day Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124304225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIL ENTERPRISES INC.

Provider Business Mailing Address
First Line	:	1417 DELTA DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79901-3119
Country	:	US
Telephone Number	:	915-328-0447
Fax Number	:	915-585-4565

Provider Business Practice Location Address
First Line	:	1417 DELTA DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79901-3119
Country	:	US
Telephone Number	:	915-328-0447
Fax Number	:	915-585-4565

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. GLORIA NARES
Credential	:	RN
Telephone Number	:	915-328-0447

Provider Enumeration Date	:	11/02/2011
Last Update Date	:	08/07/2019

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Directions to “MIL ENTERPRISES INC. ” Practice Location

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