Organization
MIRACLE OF FAITH FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN LEE CONNOR (OWNER)
(336) 987-5333
Entity
Organization
Contact information
Practice address
1413 CLIFFWOOD DR, GREENSBORO, NC 27406-4108
(336) 987-5333
Mailing address
1413 CLIFFWOOD DR, GREENSBORO, NC 27406-4108
(336) 987-5333
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
MHL-041-791
NC
Other
Enumeration date
03/12/2007
Last updated
06/16/2008
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