# MIRALTA, LLC

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

## Provider details

- **NPI number:** 1992503783
- **Authorized official:** MR. PAOLO FORNASINI MBA (CARE DIRECTOR)
- **Authorized official phone:** (404) 828-0175

## Contact information

- **Practice address:** 1363 VALLEY VIEW RD, DUNWOODY, GA 30338-4822
- **Practice address phone:** (770) 880-3029
- **Mailing address:** 1363 VALLEY VIEW RD, DUNWOODY, GA 30338-4822
- **Mailing address phone:** (770) 880-3029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/06/2025
- **Last updated:** 10/26/2025