A MIRACLE PLACE INC

GARDEN GROVE, CA
NPI1275319527
Entity TypeOrganization
Authorized ContactIMELDA LENZ
Licensee
310-408-5620
Organization Subpart ?No
Primary Taxonomy261QC1500X Clinic/Center, Community Health
Enumeration Date2023-09-04
Last Update Date2023-09-04
Business Address
A MIRACLE PLACE INC
12674 HOOVER ST
GARDEN GROVE, CA 92841-4173
Phone number: 310-408-5620
Mailing Address
A MIRACLE PLACE INC
12674 HOOVER ST
GARDEN GROVE, CA 92841-4173
Phone number: