TRACEY NICOLE MILLER NPI 1457406589

NPI Information

TRACEY NICOLE MILLER is an assisted living and mental illness assisted living facility in Avondale, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. TRACEY NICOLE MILLER NPI is 1457406589. The provider is registered as an organization entity type.

The provider's business location address is:

12641 W MERRELL ST
AVONDALE, AZ
ZIP 85323-629
Phone: (623) 535-5565

The provider's authorized official is Tracey Nicole Miller .
The authorized official title is Administrator and has the following contact phone number (623) 535-5565.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 8/22/2020.

Taxonomy Codes

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Other Identifiers

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