| NPI | 1245519511 |
|---|---|
| Doing Business As | REHOBOTH MIRACLE HEALTHCARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | DEBRAH OLIVE ANN RAMSAY President 678-712-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: GA 107 R 0894) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |