| NPI | 1114947686 |
|---|---|
| Doing Business As | MILLER'S MERRY MANOR |
| Entity Type | Organization |
| Authorized Contact | STEVEN J BERKHOUSE CFO 317-346-7939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 06-000017-1) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-01-27 |