Tracey Nicole Miller

NPI #1457406589 in Avondale, Arizona

Provider Information

NPI Number
1457406589
Entity Type
Organization
Organization Name
Tracey Nicole Miller
Primary Specialty
Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date
Jan 25, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
12641 W MERRELL ST
State
Arizona
ZIP Code
85323-6629
Phone
(623) 535-5565

Authorized Official

Name
MRS. TRACEY NICOLE MILLER, NONE
Title
ADMINISTRATOR
Phone
(623) 535-5565

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility - Assisted Living, Mental IllnessAssisted Living, Mental Illness

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