NPI | 1639192065 |
---|---|
Doing Business As | MILLER'S MERRY MANOR |
Entity Type | Organization |
Authorized Contact | STEVEN J BERKHOUSE CFO 317-736-7939 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 06-000500-1) |
Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2022-01-27 |