Organization
MIRACLE MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JABRIL SMITH (MANAGER)
(601) 953-8662
Entity
Organization
Contact information
Practice address
2425B RIVER OAKS BLVD, JACKSON, MS 39211-3040
(601) 953-8662
Mailing address
2425B RIVER OAKS BLVD, JACKSON, MS 39211-3040
(601) 953-8662
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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