| NPI | 1235549668 |
|---|---|
| Other Name | BRANDI MILLER |
| Entity Type | Organization |
| Authorized Contact | BRANDI MAE MILLER Cota 574-275-3099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 32001879A) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |