Milestone Geriatric Day Care, INC

NPI #1184671752 in Fort Worth, Texas

Provider Information

NPI Number: 1184671752
Entity Type: Organization
Organization Name: Milestone Geriatric Day Care, INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 28, 2006
Last Updated: Nov 2, 2007

Practice Location

Address: 2516 OAKLAND BLVD
Address 2: SUITE 3
City: Fort Worth
State: Texas
ZIP Code: 76103-3203
Phone: (817) 429-2290

Authorized Official

Name: MISS AUDREY LUEEL IRVING, N/A
Title: DIRECTOR
Phone: (817) 429-2290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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