# MIRACLE HOME HEALTHCARE, L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miracle Home Healthcare, agency,L.L.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386342012
- **Authorized official:** MRS. TRACEY S. BROWN CNA (C.E.O)
- **Authorized official phone:** (443) 802-6729

## Contact information

- **Practice address:** 133 N EDGEWOOD ST, BALTIMORE, MD 21229-3021
- **Practice address phone:** (443) 802-6729
- **Mailing address:** 133 N EDGEWOOD ST, BALTIMORE, MD 21229-3021
- **Mailing address phone:** (443) 802-6729
- **Mailing address fax:** (443) 802-6729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2023
- **Last updated:** 06/12/2023