Miller Group Home Inc
Organization Active NPI Developmental Disabilities Clinic/Center · Farmingdale, NJ
NPI 1275915951 · NPPES record last updated Jun 18, 2015
Key facts
- NPI
- 1275915951
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- License
- GH020 (NJ)
- Legal business name
- MILLER GROUP HOME INC
- Practice address
- 5208 Megill Road
Farmingdale, NJ 07727 - Phone
- (732) 938-4376
- Fax
- (732) 938-9473
- NPI assigned
- Jun 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Ms. Clair Miller
- Title
- Administrator
- Phone
- (732) 938-4376
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Miller Group Home Inc
Locations
5208 Megill Rd
Wall Township, NJ 07727
Phone (732) 938-4376
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | GH020 | NJ | Yes |
| Developmental Disabilities Clinic/Center | 261QD1600X | GH749 | NJ |
Addresses
Primary practice location
5208 Megill Road
Farmingdale, NJ 07727
Mailing address
PO Box 112
Farmingdale, NJ 07727-0112
Phone (732) 938-4376
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All providers in Farmingdale, NJ · Developmental Disabilities Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.