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Organization
MIRACLE OF MILLIONS
Active
Organization
MIRACLE OF MILLIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKAYA ROCHELLE POOLE CNA (OWNER)
(352) 537-1234
Entity
Organization
Contact information
Practice address
3228 N W 23RD PLACE APT 3, SILVER SPRINGS, FL 34488
(352) 537-1234
Mailing address
3228 N W 23RD PLACE, SILVER SPRINGS, FL 34488
(352) 537-1234
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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