Organization
MIRACLE HOMEHEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SAHAR HUSAIN (ADMINISTRATOR)
(847) 292-0088
Entity
Organization
Contact information
Practice address
711 DEVON AVE, SUITE 205, PARK RIDGE, IL 60068-4713
(847) 292-0088
(847) 292-0099
Mailing address
711 DEVON AVE, SUITE 205, PARK RIDGE, IL 60068-4713
(847) 292-0088
(847) 292-0099
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011278
—
IL
Enumeration date
12/09/2010
Last updated
06/13/2012
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