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Martha Gail Miller
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Malakoff, Texas
NPI 1972702298

Martha Gail Miller is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Malakoff, TX. Martha Gail Miller practices in Malakoff, TX. The NPI Number for Martha Gail Miller is 1972702298 and holds a License No. 320900000 (Texas).

The current practice location address for Martha Gail Miller is 16103 Saint Paul Dr, Malakoff, TX and can be reached out via phone at 903-288-3583 and via fax at 903-489-1814.

Location: 16103 Saint Paul Dr, Malakoff, TX, 75148-4370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972702298
Provider Name
Martha Gail Miller
Credential
Provider Entity Type
Organization
Address
16103 Saint Paul Dr, Malakoff, TX, 75148-4370
Phone Number
903-288-3583
Fax Number
903-489-1814
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16103 Saint Paul Dr
City
Malakoff
State
Texas
Zip
75148-4370
Phone Number
903-288-3583
Fax Number
903-489-1814
person
Provider Business Mailing Address Details
Address
16103 Saint Paul Dr
City
Malakoff
State
Texas
Zip
75148-4370
Phone Number
903-288-3583
Fax Number
903-489-1814
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
320900000 (Texas)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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