Organization
MILLER SERVICES LLC
Active
Other names
Kristie's Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE MAURICE MILLER SR. (OWNER/DIRECTOR/CEO)
(804) 868-6215
Entity
Organization
Contact information
Practice address
3114 EDGEWOOD AVE, RICHMOND, VA 23222-2506
(804) 329-8646
Mailing address
3114 EDGEWOOD AVE, RICHMOND, VA 23222-2506
(804) 868-6215
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
852
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
852-01-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010291747
—
VA
Enumeration date
09/25/2006
Last updated
07/31/2008
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