| NPI | 1750817003 |
|---|---|
| Doing Business As | MIRACLE HEALTHCARE PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | SHANAIREA M CAMP CEO 704-649-4374 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TN 1000000020165) |
| 253J00000X Foster Care Agency | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2022-07-21 |