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Organization
MIKAB EMPIRE LLC
Active
Organization
MIKAB EMPIRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA BIRT (OWNER)
(718) 581-7133
Entity
Organization
Contact information
Practice address
1 KENNEDY AVE UNIT 2330, DANBURY, CT 06810-5976
(718) 581-7133
Mailing address
1 KENNEDY AVE UNIT 2330, DANBURY, CT 06810-5976
(718) 581-7133
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
310400000X
Assisted Living Facility
Primary
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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