# MIRACLE HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1811507585
- **Authorized official:** MR. SABUM ANYANGWE (ADMINISTRATOR)
- **Authorized official phone:** (301) 549-3732

## Contact information

- **Practice address:** 15000 SUGAR PINE WAY, BURTONSVILLE, MD 20866-1150
- **Practice address phone:** (301) 549-3732
- **Mailing address:** 15000 SUGAR PINE WAY, BURTONSVILLE, MD 20866-1150
- **Mailing address phone:** (301) 549-3732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2020
- **Last updated:** 08/06/2020
