Basic Information
| Provider Information | |||||||||
| NPI: | 1194731471 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MILLER'S HEALTH SYSTEMS, INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | MILLER'S SENIOR LIVING COMMUNITY | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 4377 | ||||||||
| Address2: | 1690 S COUNTY FARM ROAD | ||||||||
| City: | WARSAW | ||||||||
| State: | IN | ||||||||
| PostalCode: | 465814377 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5742677211 | ||||||||
| FaxNumber: | 5742674908 | ||||||||
| Practice Location | |||||||||
| Address1: | 1634 S COUNTY FARM RD | ||||||||
| Address2: | |||||||||
| City: | WARSAW | ||||||||
| State: | IN | ||||||||
| PostalCode: | 465808248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5742675292 | ||||||||
| FaxNumber: | 5742676494 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | BOYLE | ||||||||
| AuthorizedOfficialFirstName: | PATRICK | ||||||||
| AuthorizedOfficialMiddleName: | H | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 5742677211 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310400000X | Y | Nursing & Custodial Care Facilities | Assisted Living Facility |
No ID Information.