Provider Demographics
NPI:1154127488
Name:MILLIGAN, ALVIN L
Entity type:Individual
Prefix:MR
First Name:ALVIN
Middle Name:L
Last Name:MILLIGAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15904 HENLEY RD
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-4023
Mailing Address - Country:US
Mailing Address - Phone:216-647-5252
Mailing Address - Fax:
Practice Address - Street 1:15904 HENLEY RD
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-4023
Practice Address - Country:US
Practice Address - Phone:216-647-5252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide