Organization
MIRACLE DREAM HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKYRA TYRIE WOODSON (OWNER/EMPLOYEE)
(540) 761-6546
Entity
Organization
Contact information
Practice address
904 TRENTON PL, LANSING, MI 48917-4842
(540) 761-6546
Mailing address
904 TRENTON PL, LANSING, MI 48917-4842
(540) 761-6546
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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