Provider Demographics
NPI:1518131663
Name:MILLIE'S CENTER L.L.C.
Entity Type:Organization
Organization Name:MILLIE'S CENTER L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGAUGHEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:575-590-0946
Mailing Address - Street 1:600 N HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88061-5437
Mailing Address - Country:US
Mailing Address - Phone:575-534-9172
Mailing Address - Fax:
Practice Address - Street 1:600 N HUDSON ST
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-5437
Practice Address - Country:US
Practice Address - Phone:575-534-9172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-19
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCU00010017310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility