Individual
ALEXANDER JAMES MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
636 BURNS ST, MANSFIELD, OH 44903-1010
(913) 908-1680
Mailing address
636 BURNS ST, MANSFIELD, OH 44903-1010
(913) 908-1680
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
02/05/2026
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