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Organization
MILLER HEALTHCARE NETWORK LLC
Active
Organization
MILLER HEALTHCARE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTINE MILLER LPN (ADMINISTRATOR)
(786) 663-9790
Entity
Organization
Contact information
Practice address
1130 LEE BLVD, UNIT D, LEHIGH ACRES, FL 33936-4823
(239) 200-6999
(239) 302-3446
Mailing address
1130 LEE BLVD, UNIT D, LEHIGH ACRES, FL 33936-4823
(239) 200-6999
(239) 302-3446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002664300
—
FL
Enumeration date
04/01/2016
Last updated
04/04/2016
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