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Organization
MIRACULOUS CARE LLC
Active
Organization
MIRACULOUS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA BAXTER (PRESIDENT)
(407) 307-6822
Entity
Organization
Contact information
Practice address
4457 RIBBLESDALE LN, ORLANDO, FL 32808-2031
(407) 307-6822
Mailing address
4457 RIBBLESDALE LN, ORLANDO, FL 32808-2031
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
225X00000X
Occupational Therapist
—
—
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101683700
—
FL
Enumeration date
07/31/2020
Last updated
08/25/2023
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