# MIRACLE EMS LLC

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

## Provider details

- **NPI number:** 1619694676
- **Authorized official:** ABDULLAH IBRAHIM (OWNER)
- **Authorized official phone:** (510) 761-6686

## Contact information

- **Practice address:** 3030 DUNVALE RD APT 9205, HOUSTON, TX 77063-4482
- **Practice address phone:** (510) 761-6686
- **Mailing address:** 2101 CHIPMAN AVE, ALAMEDA, CA 94501-3183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2022
- **Last updated:** 10/20/2022