| NPI | 1780161000 |
|---|---|
| Doing Business As | MIRACLE HILL OUTPATIENT REHABILITATIVE SERVICES |
| Entity Type | Organization |
| Authorized Contact | AIDIA KIRKSEY Controller 850-661-9779 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2021-10-08 |