Organization
GOLDEN MIRACLE, INC
Active
Parent organization
GOLDEN MIRACLE
Other names
Golden Miracle, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOLDEN MIRACLE
Authorized official
BRENO CARDOSO (ADMINISTRATOR)
(954) 862-2236
Entity
Organization
Contact information
Practice address
7900 OAK LN STE 401, MIAMI LAKES, FL 33016-6001
(954) 862-2236
(954) 944-0822
Mailing address
14601 SW 29TH ST STE 110, MIRAMAR, FL 33027-4715
(954) 862-2236
(954) 944-0822
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002023802
—
FL
Enumeration date
07/15/2021
Last updated
07/18/2023
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