Organization
MEDICAL MIRACLE PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJOHNA BRYANT (OWNER)
(248) 307-6959
Entity
Organization
Contact information
Practice address
16837 LINDSAY ST, DETROIT, MI 48235-3312
(248) 307-6959
Mailing address
PO BOX 11324, DETROIT, MI 48211-0324
(248) 307-6959
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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