Organization
MILLER GROUP HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLAIR MILLER (ADMINISTRATOR)
(732) 938-4376
Entity
Organization
Contact information
Practice address
5208 MEGILL ROAD, FARMINGDALE, NJ 07727
(732) 938-4376
(732) 938-9473
Mailing address
PO BOX 112, FARMINGDALE, NJ 07727-0112
(732) 938-4376
(732) 938-9742
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
GH020
NJ
261QD1600X
Developmental Disabilities Clinic/Center
GH749
NJ
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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