| Organization Name: | MILLCREEK BTI |
| NPI Number: | 1225309917 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGARET F. STEPT (ADMINISTRATOR/CEO) |
| Mailing Address: | 900 1st Ave Ne Magee |
| State: | MS US |
| Postal Code: | 391113255 |
| Phone Number: | 6018494221 |
| Fax Number: | 6018495646 |
| NPI Enumeration Date: | 01/26/2012 |
| NPI Last Update Date: | 01/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | MMI-BIDD-HCBS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |