Miller Holdings Broadfield, INC.
Intermediate Care Facility, Intellectual Disabilities in Madison, OH. Organization (NPI-2).
NPI number1922336239
StatusActive
Last updated in NPPESFeb 5, 2013
Details
- NPI
- 1922336239
- Entity type
- Organization (NPI-2)
- Legal business name
- Miller Holdings Broadfield, INC.
- Organization subpart
- No
- Enumeration date
- Nov 24, 2009
- Last updated
- Feb 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 0268 | OH | Yes |
Other names
- Broadfield Care Center (Doing Business As)
Practice location
7927 Middle Ridge RdMadison, OH 44057-3023
Phone 440-466-3702 · Fax 440-466-7287
Mailing address
2460 Elm Rd NeSuite 600
Warren, OH 44483-2900
Phone 330-307-6816
Authorized official
Kurt Miller
President
3303076816
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