Organization
MIRACLE HANDS CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RIANET ABOUDU EDIONSERI LPN-NURSE (CEO)
(301) 275-1805
Entity
Organization
Contact information
Practice address
807 SAINT MICHAELS DR, BOWIE, MD 20721-1961
(301) 275-1805
(301) 430-7380
Mailing address
807 SAINT MICHAELS DR, BOWIE, MD 20721-1961
(301) 275-1805
(301) 430-7380
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R3317
MD
Other
Enumeration date
10/11/2012
Last updated
10/21/2012
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