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Organization
MIRACLE HOME CARE SERVICES LLC
Active
Organization
MIRACLE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE RUTHINA MCGEE (AGENCY DIRECTOR)
(704) 598-8356
Entity
Organization
Contact information
Practice address
5736 N TRYON ST STE 130, CHARLOTTE, NC 28213-6898
(704) 598-8356
Mailing address
5736 N TRYON ST STE 130, CHARLOTTE, NC 28213-6898
(704) 598-8356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3431
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418189
—
NC
Enumeration date
06/20/2007
Last updated
08/22/2020
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