Organization
MIRACLE NURSING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY MARGARET WITT LPN, WCC (OWNER)
(815) 621-0954
Entity
Organization
Contact information
Practice address
6601 N FRIDAY RD, BYRON, IL 61010-8820
(815) 621-0954
Mailing address
PO BOX 521, BYRON, IL 61010-0521
(815) 621-0954
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
043069339
IL
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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