Organization
MIRACLE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE RUTHINA MCGEE (AGENCY DIRECTOR)
(704) 858-0081
Entity
Organization
Contact information
Practice address
1914 J N PEASE PL, CHARLOTTE, NC 28262-4504
(704) 858-0081
(704) 919-3470
Mailing address
1914 J N PEASE PL, 104, CHARLOTTE, NC 28262-4504
(704) 858-0081
(704) 919-3470
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3431
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418189
—
NC
05
—
6601529
—
NC
Enumeration date
01/20/2007
Last updated
07/30/2008
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