Provider Demographics
NPI:1700030335
Name:RHONDA MILLER'S ADULT RESPIT CARE
Entity Type:Organization
Organization Name:RHONDA MILLER'S ADULT RESPIT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-376-0788
Mailing Address - Street 1:524 1/2 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOURBON
Mailing Address - State:IN
Mailing Address - Zip Code:46504-1730
Mailing Address - Country:US
Mailing Address - Phone:574-376-0788
Mailing Address - Fax:
Practice Address - Street 1:524 1/2 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BOURBON
Practice Address - State:IN
Practice Address - Zip Code:46504-1730
Practice Address - Country:US
Practice Address - Phone:574-376-0788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care