Individual
LATOYA MCMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7824 PITTSBORO GOLDSTON RD, BEAR CREEK, NC 27207-9551
(919) 898-4112
Mailing address
PO BOX 384, SANFORD, NC 27331-0384
(910) 729-9659
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-019-073
NC
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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