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Ms. Angela Miller
Assisted Living Facility in Valdosta, Georgia
NPI 1922261254

Angela Miller is an Assisted Living Facility based in Valdosta, GA. Angela Miller practices in Valdosta, GA. The NPI Number for Angela Miller is 1922261254 and holds a License No. EIN 26-2449345 (Georgia).

The current practice location address for Angela Miller is 612 Smith Dr, Valdosta, GA and can be reached out via phone at 229-242-8435 and via fax at 229-241-8196. You can also correspond with Angela Miller through the mailing address at 612 SMITH DR, VALDOSTA, GA - 31601-6471 (mailing address contact number: 229-242-8435).

Location: 612 Smith Dr, Valdosta, GA, 31601-6471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922261254
Provider Name
Angela Miller
Credential
Provider Entity Type
Individual
Gender
Female
Address
612 Smith Dr, Valdosta, GA, 31601-6471
Phone Number
229-242-8435
Fax Number
229-241-8196
Provider Enumeration Date
07/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
612 Smith Dr
City
Valdosta
State
Georgia
Zip
31601-6471
Phone Number
229-242-8435
Fax Number
229-241-8196
person
Provider Business Mailing Address Details
Address
612 Smith Dr
City
Valdosta
State
Georgia
Zip
31601-6471
Phone Number
229-242-8435
Fax Number
229-241-8196
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
EIN 26-2449345 (Georgia)
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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