Organization
MIRACLE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILAGROS PASARABA RAGLAND (ADMIN)
(907) 357-0078
Entity
Organization
Contact information
Practice address
2200 E WOLVERINE CIR, WASILLA, AK 99654-2708
(907) 357-0078
Mailing address
2200 E WOLVERINE CIR, WASILLA, AK 99654-2708
(907) 357-0078
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101178
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RLK
—
AK
Enumeration date
07/07/2017
Last updated
07/21/2022
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