Organization
MIRACLE GROUP LLC
Active
Other names
MIRACLE CARE AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAVOR PETER (ADMINISTRATOR)
(301) 535-9488
Entity
Organization
Contact information
Practice address
7713 MILLER FALL RD, ROCKVILLE, MD 20855-1127
(301) 535-9488
(301) 987-7223
Mailing address
7713 MILLER FALL RD, ROCKVILLE, MD 20855-1127
(301) 535-9488
(301) 987-7223
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
07/05/2020
Last updated
07/05/2020
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