MEDICARE: P E MILLER & ASSOCIATE, INC.

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
1	251E00000X	Home Health Agency	0112685	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700873551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P E MILLER & ASSOCIATE, INC.

Provider Business Mailing Address
First Line	:	1341 S HAMILTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-1304
Country	:	US
Telephone Number	:	614-231-4743
Fax Number	:	614-231-9529

Provider Business Practice Location Address
First Line	:	1341 S HAMILTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-1304
Country	:	US
Telephone Number	:	614-231-4743
Fax Number	:	614-231-9529

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. ETTIE M MILLER
Credential	:
Telephone Number	:	614-231-4743

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	11/03/2008

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