Organization
MIRACLE SUPPORT SERVICES.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATACHA MANASSE (OWNER)
(561) 460-1798
Entity
Organization
Contact information
Practice address
1565 QUAIL LAKE DR, WEST PALM BEACH, FL 33409-4601
(561) 460-1798
Mailing address
1565 QUAIL LAKE DR, WEST PALM BEACH, FL 33409-4601
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
FL
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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