Organization
MIRACLE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE RUTHINA MCGEE (AGENCY DIRECTOR)
(704) 598-8356
Entity
Organization
Contact information
Practice address
5736 N TRYON ST STE 130, CHARLOTTE, NC 28213-6898
(704) 598-8356
Mailing address
5736 N TRYON ST STE 130, CHARLOTTE, NC 28213-6898
(704) 598-8356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3431
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418189
—
NC
Enumeration date
06/20/2007
Last updated
08/22/2020
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