Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Miona Geriatric and Dementia Center, LLC

Organization Parenteral & Enteral Nutrition Supplies (DME) · NPI 1174770424

Miona Geriatric and Dementia Center, LLC provides Parenteral & Enteral Nutrition Supplies (DME) in Ideal, Georgia. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 Poplar St
Ideal, GA 31041-6264 Not confirmed with CMS for 17 years — call before visiting
Phone: (478) 949-2270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Parenteral & Enteral Nutrition Supplies (DME) (primary) Taxonomy 332BP3500X

Record details

NPI number1174770424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Windham — President · (478) 967-2223
NPI enumeratedAugust 19, 2008
Last updated in NPPESOctober 27, 2008
Mailing address777 Nursing Home Rd, Marshallville, GA 31057-3715