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The Mlo Palace Corp.

NPI Registration Record

Provider / OrganizationNPIDate Certified
THE MLO PALACE CORP.17600702542021-01-09

The organization The Mlo Palace Corp. is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1760070254. Registration indicates The Mlo Palace Corp. is a provider of services with a specialization in Agencies, Home Health (Home Health, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Home Health, Agencies)

Entity TypeOrganization
Provider OrganizationTHE MLO PALACE CORP.
Practice Office Address952 SW 136TH PL
MIAMI, FL US
Practice Office Telephone7863373708
Mailing Address952 SW 136TH PL
MIAMI, FL 331843305 US
Authorized OfficialMAILYN LOPEZ OLIVERA, OWNER
7863373708
Offices / Locations
AddressCity / StatePhone / Fax
13985 SW 22nd St Miami, FL 331757006 7863373708
HPT Codes
CodePractice
License No
State
251E00000X PRIMARY
Agencies
Home Health
Home Health

FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse

Home Health
Agencies
OPI Codes
1679087910 MEDICAID FL
Governmental Registrations [CAGE/NCAGE/DUNS]

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