Individual
RUSSELL PAUL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO
Contact information
Practice address
87 ELM ST, STRUTHERS, OH 44471-1905
(330) 676-2551
Mailing address
87 ELM ST, STRUTHERS, OH 44471-1905
(330) 676-2551
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
6705696
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6705696
—
OH
Enumeration date
09/10/2020
Last updated
09/10/2020
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