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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHRYN ELAINE MILLER ROSE

Active Sole Proprietor

KATHRYN ELAINE MILLER ROSE is a Behavioral Health, Residential healthcare provider located in MAHOMET, Illinois. NPI 1316478878 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · MAHOMET, IL

Registration Details

NPI Number
1316478878
Provider Type
Individual
Gender
Female
NPI Issued
Mar 25, 2017 (9.4220379908194 yrs)
Last Updated
Mar 25, 2017
Sole Proprietor
Yes

Practice Information

Address
1207 LAKESIDE LN
MAHOMET, IL, 618539767
Browse IL providers · Browse ZIP 61853
Phone
2178405455
Primary Specialty
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.