Miller Holdings Sunrise, INC.
Intermediate Care Facility, Intellectual Disabilities in Lisbon, OH. Organization (NPI-2).
NPI number1982158382
StatusActive
Last updated in NPPESAug 15, 2016
Details
- NPI
- 1982158382
- Entity type
- Organization (NPI-2)
- Legal business name
- Miller Holdings Sunrise, INC.
- Organization subpart
- No
- Enumeration date
- Aug 15, 2016
- Last updated
- Aug 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Other names
- Sunrise Homes (Doing Business As)
Practice location
38655 Saltwell RdLisbon, OH 44432-8348
Phone 330-424-1418 · Fax 330-424-3029
Mailing address
2460 Elm Rd NeSuite 600
Warren, OH 44483-2900
Phone 330-307-6816 · Fax 330-974-1266
Authorized official
Kurt Miller
President
3303076816
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