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Organization
MIRACLE BEHAVIORAL HEALTHCARE SERVICES LLC
Active
Organization
MIRACLE BEHAVIORAL HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAGEN KADARIYA (CEO)
(469) 387-2258
Entity
Organization
Contact information
Practice address
5310 E MAIN ST, COLUMBUS, OH 43213-2598
(469) 387-2258
Mailing address
5310 E MAIN ST, COLUMBUS, OH 43213-2598
(469) 387-2258
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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