| NPI | 1750517496 |
|---|---|
| Doing Business As | MIRACLE RESTORATION |
| Entity Type | Organization |
| Authorized Contact | VICTORIA DIANE WHITE Owner 910-493-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |