IndividualActive
Chandra Miller
NPI 1831950542 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Baltic, OH
Provider details
- NPI number
- 1831950542
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
10458 Eckert Rd Sw
Baltic, OH 43804-9023
Phone: (330) 897-0664
Approximate (ZIP-level) locationGet directions
Mailing address
10458 Eckert Rd Sw
Baltic, OH 43804-9023
Registry dates
- Enumerated
- 2024-01-19
- Last updated
- 2024-01-19
- Certified
- 2024-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.