Organization
MIRACLE HILL LLC
Active
Other names
Miracle Hill LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY HERNANDEZ (PRESIDENT)
(917) 653-0916
Entity
Organization
Contact information
Practice address
70 E SUNRISE HWY, VALLEY STREAM, NY 11581-1240
(516) 688-5217
(888) 615-3745
Mailing address
22901 LINDEN BLVD, JAMAICA, NY 11411-1897
(516) 688-5217
(888) 615-3745
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
10/01/2025
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