IndividualActive
Alexander Miller
NPI 1760184998 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mansfield, OH
Provider details
- NPI number
- 1760184998
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
636 Burns St
Mansfield, OH 44903-1010
Phone: (913) 908-1680
Approximate (ZIP-level) locationGet directions
Mailing address
636 Burns St
Mansfield, OH 44903-1010
Registry dates
- Enumerated
- 2023-03-21
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.