Organization
MIRACLE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL ELIAS KIKOKO (OWNER)
(859) 413-6118
Entity
Organization
Contact information
Practice address
1710 ALEXANDRIA DR STE 4, LEXINGTON, KY 40504-3151
(859) 413-6118
Mailing address
1710 ALEXANDRIA DR STE 4, LEXINGTON, KY 40504-3151
(859) 413-6118
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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