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1568938140
MIRACLE HEALTH CARE SERVICES LLC
CHARLOTTE, NC
NPI
1568938140
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Entity Type
Organization
Authorized Contact
XAVIER L YOUNG
CEO
980-219-7315
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
MIRACLE HEALTH CARE SERVICES LLC
2627 PROVIDENCE RD
CHARLOTTE, NC 28211-2238
Phone number: 980-219-7315
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Mailing Address
MIRACLE HEALTH CARE SERVICES LLC
2627 PROVIDENCE RD
CHARLOTTE, NC 28211-2238
Phone number: 980-219-7315
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