Organization
MIRAGOLD HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM NANA VINCENT (OWNER)
(240) 938-8824
Entity
Organization
Contact information
Practice address
9105 5TH ST, LANHAM, MD 20706-2736
(240) 938-8824
Mailing address
6210 N CAPITOL ST NW, WASHINGTON, DC 20011-1416
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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