Organization
MIRACLE HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD M STEVENS (PRESIDENT)
(505) 391-0204
Entity
Organization
Contact information
Practice address
817 N TURNER ST, HOBBS, NM 88240-5146
(505) 391-0204
Mailing address
817 N TURNER ST, HOBBS, NM 88240-5146
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
03046267003
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45978557
—
NM
05
—
63477530
—
NM
Enumeration date
01/19/2007
Last updated
08/22/2020
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