| NPI | 1053174391 |
|---|---|
| Doing Business As | MIRACLE HOPE SUPPORTIVE HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | CENCREAHA E BOWMAN CEO 920-815-5158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |