Martha Gail Miller
LBN: Christian Life Residential Services
Martha Gail Miller is an health care organization with primary practice located at 226 E Royall Blvd , Malakoff TX 75148-9110. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Christian Life Residential Services can be contacted via phone (903) 489-9977, or through Miller, Martha Gail via phone (903) 489-9977.
Contact Information
Primary practice address
226 E Royall Blvd
Malakoff TX 75148-9110
Phone: (903) 489-9977
Fax: (903) 698-2827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1578816799 |
|---|---|
| LBN Legal business name | Christian Life Residential Services |
| DBA Doing business as | Martha Gail Miller |
| Authorized official | Miller, Martha Gail |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2012 |
| Last updated | Oct 25th, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578816799 | NPPES |
| Texas | MEDICAID | 1972702298 |
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