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Organization
MIRACLE HOME HEALTH AGENCY INC
Active
Organization
MIRACLE HOME HEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNICE C OSUNWA (ADMINISTRATOR)
(562) 653-0668
Entity
Organization
Contact information
Practice address
10945 SOUTH STREET, #202A, CERRITOS, CA 90703
(562) 653-0668
(562) 653-0687
Mailing address
10945 SOUTH STREET, #202A, CERRITOS, CA 90703
(562) 653-0668
(562) 653-0687
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA70303F
—
CA
Enumeration date
03/23/2007
Last updated
10/12/2007
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