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Individual

EMMANUEL ELLISON MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
715 CEDAR AVE, RAVENNA, OH 44266-2414
(330) 839-3208
Mailing address
715 CEDAR AVE, RAVENNA, OH 44266-2414
(330) 839-3208

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle
376J00000X
Homemaker
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
01/13/2025
Last updated
01/26/2025
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