Organization · Type 2 NPI
Grace Miller
Adult Care Home Facility · Hayden, ID
NPI number
1114815966
Active
Practice location
486 W Peach Tree Dr
Hayden, ID 83835-9740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1114815966
Grace Miller's National Provider Identifier is 1114815966, issued on Jun 27, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Hayden, ID. The record was last updated on Jun 27, 2025.