Organization
DIVINE MIRACLES INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELINA ROBINSON (OWNER/OFFICE MANAGER)
(504) 669-4341
Entity
Organization
Contact information
Practice address
2626 CHARLES DR, SUITE G, CHALMETTE, LA 70043-3779
(504) 322-2375
(504) 322-2414
Mailing address
2626 CHARLES DR, SUITE G, CHALMETTE, LA 70043-3779
(504) 322-2375
(504) 322-2414
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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