Organization
MIRACLE LIFE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEON STEVENS (OWNER)
(281) 690-1427
Entity
Organization
Contact information
Practice address
4115 TEAL VALLEY CT, FRESNO, TX 77545-8650
(281) 690-1427
Mailing address
4115 TEAL VALLEY CT, FRESNO, TX 77545-8650
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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