Organization
MILLER PLACE RESIDENTIAL CARE LLC
Active
Other names
Miller Place Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEAUTY JACKSON (MANAGER)
(404) 394-6933
Entity
Organization
Contact information
Practice address
140 COX ST, SPARTANBURG, SC 29306-4807
(864) 573-7008
(864) 752-1084
Mailing address
16 ELM ST, GREENVILLE, SC 29605-4006
(404) 394-6933
(864) 752-1084
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
07/28/2020
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