Healthcare Provider Details

I. General information

NPI: 1710891353
Provider Name (Legal Business Name): CURTIS LEE MILLER III
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 MANCHESTER PKWY
HIGHLAND PARK MI
48203-3060
US

IV. Provider business mailing address

233 MANCHESTER PKWY
HIGHLAND PARK MI
48203-3060
US

V. Phone/Fax

Practice location:
  • Phone: 313-802-6781
  • Fax:
Mailing address:
  • Phone: 313-802-6781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: