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Organization
MIRACLE HILL NURSING AND REHABILITATION CENTER, INC.
Active
Organization
MIRACLE HILL NURSING AND REHABILITATION CENTER, INC.
Active
Other names
Miracle Hill Outpatient Rehabilitative Services
Organization subpart
Yes
Provider details
NPI number
Authorized official
AIDIA KIRKSEY (CONTROLLER)
(850) 661-9779
Entity
Organization
Contact information
Practice address
1329 ABRAHAM ST, TALLAHASSEE, FL 32304-1907
(850) 224-8486
(850) 224-8815
Mailing address
1329 ABRAHAM ST, TALLAHASSEE, FL 32304-1907
(850) 224-8486
(850) 224-8815
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SNF1354096
—
FL
Enumeration date
07/20/2018
Last updated
10/08/2021
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