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NPI Code Detail

MEDICARE: MILLER HEALTH CARE SERVICES

MEDICARE: MILLER HEALTH CARE SERVICES
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
13140N1450XPediatric Skilled Nursing Facility135359OH
2315P00000XIntellectual Disabilities Intermediate Care Facility135359OH
3311ZA0620XAdult Care Home Facility135359OH

General Provider Information

NPI Number : 1093948127
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLER HEALTH CARE SERVICES
Provider Business Mailing Address
First Line : 5661 HARSHMANVILLE ROAD
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424
Country : US
Telephone Number : 937-242-6265
Fax Number :
Provider Business Practice Location Address
First Line : 5661 HARSHMANVILLE RD
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-5353
Country : US
Telephone Number : 937-242-6265
Fax Number :
Authorized Official
Title or Position : LICENSED PRACTICAL NURSE
Name : MS. SHERANDA LYNNETTE MILLER
Credential : LPN
Telephone Number : 937-242-6265
Provider Enumeration Date : 08/24/2009
Last Update Date : 08/24/2009

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Directions to “MILLER HEALTH CARE SERVICES ” Practice Location

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