Organization · Type 2 NPI
Miller Holdings Stark, Inc.
Intellectual Disabilities Intermediate Care Facility · Massillon, OH
NPI number
1174800965
Active
Practice location
3927 Carnegie Ave NW
Massillon, OH 44646-1513
Fax (330) 479-7826
Mailing address
2460 Elm Rd NE, Ste 600
Warren, OH 44483-2900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1174800965
Miller Holdings Stark, Inc.'s National Provider Identifier is 1174800965, issued on Nov 8, 2011. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Massillon, OH. The record was last updated on Dec 28, 2012.