Healthcare Provider Details
I. General information
NPI: 1780849448
Provider Name (Legal Business Name): MILLER'S HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2008
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1690 S COUNTY FARM RD
WARSAW IN
46580-8248
US
IV. Provider business mailing address
PO BOX 4377 1690 S. COUNTY FARM ROAD
WARSAW IN
46581-4377
US
V. Phone/Fax
- Phone: 574-267-7211
- Fax: 574-267-4908
- Phone: 574-267-7211
- Fax: 574-267-4908
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
PATRICK
H.
BOYLE
Title or Position: CFO
Credential:
Phone: 574-267-7211