| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOEL DALE MILLER | 1114526597 | 2020-10-18 |
Joel Dale Miller is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114526597. Registration indicates Joel Dale Miller is a provider of services with a specialization in Nursing Service Related Providers, Homemaker (Homemaker, ) (Homemaker, Nursing Service Related Providers)
| Entity Type | Individual |
| Provider Name | Joel Dale Miller |
| Practice Office Address | 3062 OLD FORGE RD KENT, OH US |
| Practice Office Telephone | 3302892725 |
| Mailing Address | 3062 OLD FORGE RD KENT, OH 442406726 US |
| Business Telephone | 3302892725 |
| Code | Practice | License No State |
|---|---|---|
| 376J00000X PRIMARY | Nursing Service Related Providers Homemaker Homemaker Homemaker Nursing Service Related Providers |
| 2945648 | MEDICAID | OH |