Tracey Nicole Miller
Tracey Nicole Miller is an Assisted Living Facility (Mental Illness) in Avondale, Arizona. Licensed in Arizona. Registered with an NPI since 2007.
- Licensed in
- AZ
- In the registry since
- 2007
Practice location Address checks out
12641 W Merrell StAvondale, AZ 85323-6629
Phone: (623) 535-5565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (Mental Illness) (primary) | Taxonomy 3104A0625X · Licence BH2685 (AZ) |
|---|
Record details
| NPI number | 1457406589 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracey Miller — Administrator · (623) 535-5565 |
| NPI enumerated | January 25, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 12641 W Merrell St, Avondale, AZ 85323-6629 |