Organization
MIRACLE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNISHA DEROSIER (OWNER)
(203) 822-0526
Entity
Organization
Contact information
Practice address
169 ALFRED ST, BRIDGEPORT, CT 06605-2957
(203) 822-0526
Mailing address
169 ALFRED ST, BRIDGEPORT, CT 06605-2957
(203) 822-0526
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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