Individual
ERIC L MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 LENNOX AVE, KILLEEN, TX 76549-2147
(254) 563-7919
Mailing address
1103 SEARCY DR, KILLEEN, TX 76543-4840
(254) 563-7919
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/06/2020
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