# GOLDEN MIRACLE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GOLDEN MIRACLE, INC
- **Other names:** Golden Miracle
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447822762
- **Legal business name:** GOLDEN MIRACLE, INC
- **Authorized official:** BRENO CARDOSO (ADMINISTRATOR)
- **Authorized official phone:** (954) 862-2236

## Contact information

- **Practice address:** 14601 SW 29TH ST STE 110, MIRAMAR, FL 33027-4715
- **Practice address phone:** (954) 862-2236
- **Practice address fax:** (954) 944-0822
- **Mailing address:** 14601 SW 29TH ST STE 110, MIRAMAR, FL 33027-4715
- **Mailing address phone:** (954) 862-2236
- **Mailing address fax:** (954) 944-0822

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2021
- **Last updated:** 07/15/2021