Miller Holdings Takoda, Inc.

NPI #1972670016 in Fairfield, Ohio

Provider Information

NPI Number: 1972670016
Entity Type: Organization
Organization Name: Miller Holdings Takoda, Inc.
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Nov 30, 2006
Last Updated: Dec 28, 2012

Practice Location

Address: 350 KOLB DR
City: Fairfield
State: Ohio
ZIP Code: 45014-5357
Phone: (513) 874-0423

Authorized Official

Name: KURT MILLER
Title: PRESIDENT
Phone: (330) 307-6816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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