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Miller Holdings Stark, Inc.
Intellectual Disabilities Intermediate Care Facility in Canton, Ohio
NPI 1902183791

Miller Holdings Stark, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Warren, OH. Miller Holdings Stark, Inc. practices in Canton, OH. The NPI Number for Miller Holdings Stark, Inc. is 1902183791 and holds a License No. (Ohio).

The current practice location address for Miller Holdings Stark, Inc. is 1121 Deborah St Nw, Canton, OH and can be reached out via phone at 330-497-2116 and via fax at 330-497-5559. You can also correspond with Miller Holdings Stark, Inc. through the mailing address at 2460 ELM RD NE, WARREN, OH - 44483-2900 (mailing address contact number: 330-307-6816).

Location: 1121 Deborah St Nw, Canton, OH, 44483-2900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902183791
Provider Name
Miller Holdings Stark, Inc.
Credential
Provider Entity Type
Organization
Address
1121 Deborah St Nw, Canton, OH, 44483-2900
Phone Number
330-497-2116
Fax Number
330-497-5559
Provider Enumeration Date
11/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0072048 05 OH
institution
Provider Business Practice Location Address Details
Address
1121 Deborah St Nw
City
Canton
State
Ohio
Zip
44720-3821
Phone Number
330-497-2116
Fax Number
330-497-5559
person
Provider Business Mailing Address Details
Address
1121 Deborah St Nw
City
Canton
State
Ohio
Zip
44720-3821
Phone Number
330-497-2116
Fax Number
330-497-5559
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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