Organization
ME PIVOT HOLDINGS LLC
Active
Other names
Miracle-Ear Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEN HALL (PRESIDENT)
(763) 268-4000
Entity
Organization
Contact information
Practice address
3035 WATSON BLVD STE 4, WARNER ROBINS, GA 31093-9527
(478) 953-0996
Mailing address
150 S 5TH ST STE 2300, MINNEAPOLIS, MN 55402-4223
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
01/29/2020
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