Organization
MIRACLE IN-HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XAVIER YOUNG (AGENCY DIRECTOR)
(704) 315-3895
Entity
Organization
Contact information
Practice address
4408 E INDEPENDENCE BLVD, CHARLOTTE, NC 28205-7404
(704) 315-3895
Mailing address
4408 E INDEPENDENCE BLVD, CHARLOTTE, NC 28205-7404
(704) 315-3895
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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