| NPI | 1093110223 |
|---|---|
| Doing Business As | MIRACLE EAR |
| Entity Type | Organization |
| Authorized Contact | JANET IVENS Owner 757-825-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 124122) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 03231) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 14763800005200) | |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-31 |