# MIRACLE HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255814489
- **Authorized official:** MEKANZE UKADIKE (OWNER)
- **Authorized official phone:** (832) 883-0015

## Contact information

- **Practice address:** 1823 SEVILLE MNR, FRESNO, TX 77545-2138
- **Practice address phone:** (832) 883-0015
- **Mailing address:** 1823 SEVILLE MNR, FRESNO, TX 77545-2138
- **Mailing address phone:** (832) 883-0015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2018
- **Last updated:** 09/13/2018