Organization
MILLER HOLDINGS STARK, INC.
Active
Other names
Strausser Home
Organization subpart
No
Provider details
NPI number
Authorized official
KURT MILLER (PRESIDENT)
(330) 307-6816
Entity
Organization
Contact information
Practice address
10405 STRAUSSER ST NW, CANAL FULTON, OH 44614-8733
(330) 854-1004
(330) 854-6700
Mailing address
2460 ELM RD NE, STE 600, WARREN, OH 44483-2900
(330) 307-6816
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072115
—
OH
Enumeration date
11/09/2011
Last updated
12/28/2012
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