Individual
MONICA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 HUNTER DR, BARNWELL, SC 29812-6773
(803) 645-7122
Mailing address
PO BOX 1195, BARNWELL, SC 29812-1195
(803) 645-7122
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
9982306
SC
376K00000X
Nurse's Aide
CN0030036744
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NONE TO REPORT
—
Enumeration date
05/07/2020
Last updated
05/07/2020
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