# MIRACLE HANDS CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1457603623
- **Authorized official:** MRS. RIANET ABOUDU EDIONSERI LPN-NURSE (CEO)
- **Authorized official phone:** (301) 275-1805

## Contact information

- **Practice address:** 807 SAINT MICHAELS DR, BOWIE, MD 20721-1961
- **Practice address phone:** (301) 275-1805
- **Practice address fax:** (301) 430-7380
- **Mailing address:** 807 SAINT MICHAELS DR, BOWIE, MD 20721-1961
- **Mailing address phone:** (301) 275-1805
- **Mailing address fax:** (301) 430-7380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R3317 | MD | Yes |

## Other

- **Enumeration date:** 10/11/2012
- **Last updated:** 10/21/2012