Organization
MIRACLE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEKANZE UKADIKE (OWNER)
(832) 883-0015
Entity
Organization
Contact information
Practice address
1823 SEVILLE MNR, FRESNO, TX 77545-2138
(832) 883-0015
Mailing address
1823 SEVILLE MNR, FRESNO, TX 77545-2138
(832) 883-0015
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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