| NPI | 1578188967 |
|---|---|
| Doing Business As | MILLER PLACE RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | BEAUTY JACKSON Manager 404-394-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-07-28 |