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Organization
MIRACLE HOME HEALTH SOUTH, LLC
Active
Organization
MIRACLE HOME HEALTH SOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY E BENTLE (MEMBER)
(214) 929-4828
Entity
Organization
Contact information
Practice address
3216 FRIENDLY LN, SUITE D, HALTOM CITY, TX 76117-3600
(214) 929-4828
Mailing address
PO BOX 136383, FORT WORTH, TX 76136-0383
(214) 929-4828
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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