NPI 1700163433

Miller Holdings Stark, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Canal Fulton, OH

Practice location

Address: 10405 Strausser St NW, Canal Fulton, OH 44614-8733
Phone: (330) 854-1004
Fax: (330) 854-6700
Mailing address: 2460 Elm Rd NE STE 600, Warren, OH 44483-2900

Authorised official

Name: Kurt Miller
Title: President
Phone: (330) 307-6816

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Ohio →

Registry record

NPI: 1700163433
Entity type: Organization
NPI issued: 9 Nov 2011
Record last updated: 28 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.