OrganizationActive
Tracey Nicole Miller
NPI 1457406589 · Assisted Living Facility (Mental Illness) · Avondale, AZ
Provider details
- NPI number
- 1457406589
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tracey Miller, Administrator(623) 535-5565
- License
- BH2685 (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
12641 W Merrell St
Avondale, AZ 85323-6629
Phone: (623) 535-5565
Approximate (ZIP-level) locationGet directions
Mailing address
12641 W Merrell St
Avondale, AZ 85323-6629
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.