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Organization

MIRACLE COMPREHENSIVE SERIVCES

Active
Other names
MIRACLE COMPREHENSIVE SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
MS. EME UDOETUK (ADMINISTRATOR)
(708) 769-1737
Entity
Organization

Contact information

Practice address
4440 LINCOLN HWY STE 205, MATTESON, IL 60443-3803
(708) 769-1737
Mailing address
4440 LINCOLN HWY STE 205, MATTESON, IL 60443-3803
(708) 769-1737

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
10/16/2019
Last updated
10/16/2019
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