| NPI | 1336857333 |
|---|---|
| Other Name | MILLER NUSING HOME PART B |
| Entity Type | Organization |
| Authorized Contact | CRISSA P SHAW Credentialing Coordinator 229-758-4212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |