# MIRACLE LIFE ADULT DAY CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MIRACLE LIFE ADULT DAY HEALTH CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750652798
- **Authorized official:** JUDITH D BRIGGS (OWNER)
- **Authorized official phone:** (941) 423-0800

## Contact information

- **Practice address:** 5400 S BISCAYNE DR, SUITE F, NORTH PORT, FL 34287-1932
- **Practice address phone:** (941) 423-0800
- **Practice address fax:** (941) 423-6421
- **Mailing address:** 5400 S BISCAYNE DR, SUITE F, NORTH PORT, FL 34287-1932
- **Mailing address phone:** (941) 423-0800
- **Mailing address fax:** (941) 423-6421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 9189 | FL | Yes |

## Other

- **Enumeration date:** 01/23/2012
- **Last updated:** 01/24/2012