Organization
MIRACLE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CHAMBERS (ADMINISTATOR)
(405) 401-5299
Entity
Organization
Contact information
Practice address
1624 S RUTAN ST, WICHITA, KS 67218-3918
(316) 448-2614
(316) 462-0766
Mailing address
1624 S RUTAN ST, WICHITA, KS 67218-3918
(316) 448-2614
(316) 462-0766
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A-087-159
KS
Other
Enumeration date
04/20/2010
Last updated
05/04/2015
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