Organization
MIRACLE HANDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERVIN DEXTER BLAKNEY II (OWNER)
(704) 605-2178
Entity
Organization
Contact information
Practice address
1839 COCHRAN PL, CHARLOTTE, NC 28205-3019
(704) 605-2178
Mailing address
1839 COCHRAN PL, CHARLOTTE, NC 28205
(704) 605-2178
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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