Organization
MIRACLE HOUSING AND DISABILITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE A HARPER (EXECUTIVE DIRECTOR)
(210) 409-7121
Entity
Organization
Contact information
Practice address
8086 PIONEER TRAIL DR, SAN ANTONIO, TX 78244-1821
(210) 409-7121
Mailing address
8086 PIONEER TRAIL DR, SAN ANTONIO, TX 78244-1821
(210) 409-7121
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
TX
Other
Enumeration date
09/13/2013
Last updated
07/21/2022
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