Organization
MILLER'S ALTERNATIVE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE MILLER (MANAGER)
(910) 289-3727
Entity
Organization
Contact information
Practice address
291 E CHARITY RD, ROSE HILL, NC 28458-8300
(910) 289-3727
Mailing address
1399 N NC 11 903 HWY, KENANSVILLE, NC 28349-8731
(910) 289-3727
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409662
—
NC
Enumeration date
02/12/2007
Last updated
12/10/2007
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