person
Cass Carrol Miller
Assisted Living Facility in Tooele, Utah
NPI 1124186218

Cass Carrol Miller is an Assisted Living Facility based in Roy, UT. Cass Carrol Miller practices in Tooele, UT. The NPI Number for Cass Carrol Miller is 1124186218 and holds a License No. (Utah).

The current practice location address for Cass Carrol Miller is 464 S Main St, Tooele, UT and can be reached out via phone at 435-833-0202. You can also correspond with Cass Carrol Miller through the mailing address at 2816 W 6050 S, ROY, UT - 84067-1054 (mailing address contact number: 801-774-8953).

Location: 464 S Main St, Tooele, UT, 84067-1054
person
Provider Profile Details
NPI Number
1124186218
Provider Name
Cass Carrol Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
464 S Main St, Tooele, UT, 84067-1054
Phone Number
435-833-0202
Fax Number
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
464 S Main St
City
State
Zip
84074-2748
Phone Number
435-833-0202
Fax Number
person
Provider Business Mailing Address Details
Address
2816 W 6050 S
City
Roy
State
Zip
84067-1054
Phone Number
801-774-8953
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
(Utah)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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