| NPI | 1891237665 |
|---|---|
| Former Legal Business Name | MILLCREEK MANOR |
| Entity Type | Organization |
| Authorized Contact | MELANIE RAE TITZEL Director Of Operations 8148-683-3812 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: 806473) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |