# A MIRACLE HOME CARE LLC

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

## Provider details

- **NPI number:** 1831537992
- **Authorized official:** MR. ANTHONY KELLY (OWNER)
- **Authorized official phone:** (414) 779-2729

## Contact information

- **Practice address:** 6824 W APPLETON AVE APT 4, MILWAUKEE, WI 53216-2756
- **Practice address phone:** (414) 779-2729
- **Mailing address:** 6824 W APPLETON AVE, MILWAUKEE, WI 53216-2756
- **Mailing address phone:** (414) 779-2729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | WI | Yes |

## Other

- **Enumeration date:** 06/11/2013
- **Last updated:** 07/21/2022