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Miller Holdings Stark, Inc.
Intellectual Disabilities Intermediate Care Facility in Canal Fulton, Ohio
NPI 1700163433

Miller Holdings Stark, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Warren, OH. Miller Holdings Stark, Inc. practices in Canal Fulton, OH. The NPI Number for Miller Holdings Stark, Inc. is 1700163433 and holds a License No. (Ohio).

The current practice location address for Miller Holdings Stark, Inc. is 10405 Strausser St Nw, Canal Fulton, OH and can be reached out via phone at 330-854-1004 and via fax at 330-854-6700.

Location: 10405 Strausser St Nw, Canal Fulton, OH, 44483-2900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700163433
Provider Name
Miller Holdings Stark, Inc.
Credential
Provider Entity Type
Organization
Address
10405 Strausser St Nw, Canal Fulton, OH, 44483-2900
Phone Number
330-854-1004
Fax Number
330-854-6700
Provider Enumeration Date
11/09/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0072115 05 OH
institution
Provider Business Practice Location Address Details
Address
10405 Strausser St Nw
City
Canal Fulton
State
Ohio
Zip
44614-8733
Phone Number
330-854-1004
Fax Number
330-854-6700
person
Provider Business Mailing Address Details
Address
10405 Strausser St Nw
City
Canal Fulton
State
Ohio
Zip
44614-8733
Phone Number
330-854-1004
Fax Number
330-854-6700
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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