Organization
MILL CREEK MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MILLER (MANAGING MEMBER)
(704) 878-0879
Entity
Organization
Contact information
Practice address
1902 ORA DR, STATESVILLE, NC 28625-6343
(704) 878-0879
Mailing address
1902 ORA DR, STATESVILLE, NC 28625-6343
(704) 878-0879
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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