# MIRACLE HEALTHCARE AND WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1336052869
- **Authorized official:** TOYIN MARY AJAYI DNP,FNP-BC (CEO)
- **Authorized official phone:** (301) 613-6963

## Contact information

- **Practice address:** 2408 PLENTY GATES LN \# A, WALDORF, MD 20601-5602
- **Practice address phone:** (130) 161-3696
- **Mailing address:** 2408 PLENTY GATES LN \# A, WALDORF, MD 20601-5602
- **Mailing address phone:** (130) 161-3696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2026
- **Last updated:** 09/25/2026