Serita Miller
Serita Miller is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Grand Prairie, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2023
Practice location Address checks out
430 Beatty DrGrand Prairie, TX 75052-6405
Phone: (646) 750-8236
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (TX) |
|---|
Record details
| NPI number | 1568178630 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 23, 2023 |
| Last updated in NPPES | April 4, 2023 |
| Certification date | April 4, 2023 |
| Mailing address | 430 Beatty Dr, Grand Prairie, TX 75052-6405 |
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